Exam (elaborations)
PN 106; 3 & 4 EXAM QUESTIONS WITH VERIFIED ANSWERS
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PN 106; 3 & 4 EXAM QUESTIONS WITH VERIFIED ANSWERS...
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-curative-corrective
-cosmetic
-exploratory
-palliative - ANSWER purposes of surgeries
curative - ANSWER done to treat or cure a disease
ex. tonsils, gallbladder
corrective - ANSWER done to repair an anatomical or congenital defect
ex. cleft palate
cosmetic - ANSWER to change or improve one's physical appearance
ex. facial lift
exploratory - ANSWER provide further data and determines a diagnosis or
problem
ex. biopsy
palliative - ANSWER alleviates the symptoms and provides comfort but does
not necessarily cure the disease or heal the injury
ex. remove as much of the tumor as possible
-elective
-urgent
-emergency
-salvage - ANSWER what are the different urgencies of surgery
elective surgery - ANSWER voluntary surgery that is scheduled a week or more
in advance and often done to improve the quality of life
ex. cataracts
urgent surgery - ANSWER surgeries required within 24 hr. of diagnosis to
prevent any further complications
,ex. fractured hip
emergency surgery - ANSWER cannot be delayed must be scheduled within
two hours admission
ex. stable GI bleed
salvage surgery - ANSWER surgery when CPR is in progress on the way to the
OR or the patients life or limb is threatened
ex. gunshot wound or ruptures aneurysm
outpatient and inpatient - ANSWER surgical settings include:
-stand alone surgery centers
-medical office
-hospital outpatient surgery department - ANSWER types of outpatient surgical
settings:
outpatient surgery - ANSWER surgeries that dont require the patient to be
admitted to the hospital overnight
inpatient surgeries - ANSWER surgeries that require the patient to get admitted
after surgery to stay a night or more
ex. total joint replacements
hospital outpatient surgery department - ANSWER patient still goes home same
day, but surgery could be a little higher risk
-vasectomy
-mole removals - ANSWER medical offices perform what type of surgeries?
knee score - ANSWER stand alone surgery centers perform what type of
surgeries?
-age
-chronic disease
-emotional response (anxiety)
-nutrition status
, -smoking, alcohol, drugs - ANSWER factors that influence surgical outcomes
include:
thickens secretions - ANSWER how does smoking affect surgical outcomes
lead to overdose because the liver is unable to metabolize the drug - ANSWER
how does alcohol affect surgical outcomes?
interact with meds given during surgery - ANSWER how can drugs affect the
outcome of surgery?
-preoperative
-intraoperative
-postoperative - ANSWER phases of surgery include:
preoperative - ANSWER begins when the person makes the decision to have
surgery and ends when patient is wheeled into OR
intraoperative phase - ANSWER begins when pt. enters the OR and ends when
pt. leaves the OR
postoperative phase - ANSWER starts when the pt. hits the PACU or postop
area and ends when the pt. is recovered
-patient history
-current medications
-allergies
-anethesia history
-alcohol or drug use
-chance of pregnancy
-review of systems - ANSWER presurgical assessment includes:
-cardiovascular
-respiratory
-central nervous system
-renal
-musculoskeletal
-gastrointestinal
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