Surgical Nursing Midterm
1. What sizes do suture material come in and name two types of suture material? Written response
11-0 to 0 and to No.1-No.5 Cat gut, monocryl, PDS 11, Maxon etc. (Page 36 surgical nursing)
1. Feline onychectomies are done with what size blade? A. _____________ (Fill in the blank)
12 blade
To ensure the most accurate blood pressure reading, the cuff should be what percentage of the width of the limb?
40%
What information is included in the patient's signalment? Age, gender, breed "Proceed with caution" sugnals (e.g., "will bite") Previous surgical history All of the above
Age, gender, breed
Why is it important to review all the medications and supplements that the patient is taking before starting the surgery. a. To avoid the possible drug interactions b. To know whether or not other diagnostic tests are indicated c. To make any necessary adjustments to the anesthetic protocols d. All the above
All of the above
High quality needle holders often contain within their jaws tungsten carbide inserts that __________.
Are resistant to wear
A surgical consent form includes which of the following? A. All of the patient's prior surgeries, medical history, and current medications B. An estimate for the surgical procedures to be performed Identification of the patient, the specific procedure to be performed along with the potential risks to the patient, and the doctor who will perform the procedures and the signature of the owner consenting to the procedures. D. The patient's current diet E. None of the above
B
Which position should the patient be placed in for an abdominal exploratory surgery? a. Sternal recumbency b. Dorsal recumbency c. Right or left lateral recumbency
B
Why should taking the patient's temperature be saved for the end of the physical exam (PE)? A. It is least important part of the PE B. Most animals dislike having their temperatures taken rectally. and it is easier to perform a PE on a cooperative patient; taking the temperature early during the PE may make the patient uncooperative for the rest of the examination. C. By the end of the PE, the examiner should have already ascertained whether the patient is febrile, and only then does the temperature need to be taken. D. None of the above E. All of the above
B
What are some safe techniques for preventing hypothermia in small animal surgical patients? Circulating warm-water pads Electric heating pads SnuggleSafe discs. All of the above Both a and C
Both A and C
Which tactic(s) may stop a cat from purring during thoracic auscultation? A. Gently squeezing the thorax with one hand while the other hand holds the stethoscope on the chest wall B. Massaging under the cat's chin C. Holding the cat near a sink or faucet, with or without the water running D. All of the above E. Non of the above
C
1. When opening sterile fluids in the surgery room the _______ is considered contaminated?
Cap
Which monitoring devices measure exhaled Co2, levels? Pulse oximeter Electrocardiograph Sphygmomanometer Capnometer
Capnometer
Hypotension can be caused by ___________.
Cardiac insufficiency
1. The __________ is the person who opens packs and is the runner for the surgical team. a. Circulating nurse b. Scrub nurse c. Veterinary Technician d. Anesthetist
Circulating nurse
1. Why is it important to only use the surgical instruments for their intended purpose? a. To avoid damaging the instruments b. To protect their lifespan c. Some are high quality instruments that are expensive and should be handled with high-quality care d. All the above
D
What can be done to help prevent a deep-chested dog from tilting to the side while in dorsal recumbency? A. Using a v-trough B. Bracing the chest with sandbags. C. Tying the forelegs crossed over the chest D. All of the above E. Both a and c
D. All of the above
Which of the following drugs cause muscle rigidity? a. Anticholinergics b. Local anesthetics c. Antibiotics d. Dissociative anesthetics
Dissociative anesthetics
What position is the patient placed in on the surgery table for thoracic surgery?
Dorsal Right lateral Left lateral
What position should the patient be placed in for abdominal exploratory surgery?
Dorsal recumbency
What s the correct order of steps to prepare a patient for surgery?
Double check the patients identity and confirm the procedure that is being performed Bathe extremely dirty patients Ensure that anesthesia form has been started Induce anesthesia Intubate animal hair removal empty the urinary bladder prep surgical site position patient on surgical table final sterile surgical site preparation
How frequently should physiologic parameters be recorded in the anesthesia log during a surgery?
Every 5 minuets
1. Bone cutters have cupped tips with sharp edges and work with a squeezing action of the handles. They are used to break up bits and pieces of bone for grafting? A. True B. False
False
T/F NSAID's do not provide multimodal analgesia. a. True b. False
False
The first spray of the final prep should be directly over the incision site.
False
The ideal stage of anesthesia for a patient during surgery is stage 4.
False
When scrubbing the skin of the intended surgical site, sufficient friction should be generated to cause hyperemia? A. True B. False
False
___________ is a self retaining retractor. Gelpi Army-Navy Seen Snook
Gelpi
Of the procedures listed, which should be scheduled as the first of the day? Corneal laceration splenectomy OHE Knee replacement
Knee replacement
________ are fine, straight, or curved scissors used for cutting delicate tissue, such as fat or thin muscle. Metzenbaum Mayo Operating Lister
Metzenbaum
Which of the following suction tips is best for removing large volumes of fluid? a. Yankauer b. Poole c. Frazier d. Suction hose
Poole
1. Why is expressing the urinary bladder before surgery important? (Written response)
Prevent animal from urinating during surgery which contaminates the surgical site and to prevent urine scalding.
1. What is the name of the towel clamp that has balls on the tip to prevent from penetrating to far into the tissues? A. Lorna B. Backhaus C. Roeder D. Jones
Roeder
When using electrocautery if good contact is not maintained between the surgical patient and the group plate what will happen?
The patient will be burned
Why are leading questions inappropriate to ask during the history taking? They make the owner feel compelled to answer a certain way They may encourage the owner to answer inaccurately They are appropriate and should be asked Both a and B None of the above
They make the owner feel compelled to answer a certain way They may encourage the owner to answer inaccurately They are appropriate and should be asked Both a and B None of the above
1. Why should leading questions not be asked when taking a history? Written response
They make the owner feel like they have to answer a certain way, etc.
Why should a patient's identity be verified before the animal is placed under anesthesia for surgery?
To avoid placing the wrong patient under anesthesia To avoid performing the wrong surgery on the patient
1. Where is the lingual pulse located? (Fill in the blank) _________________
Tongue
1. During surgery patient vitals such as HR, RR, CRT, MM, eye position, muscle tone and reflexes should be monitored every 5-10 minutes. a. True b. False
True
Central venous pressure measurements require that a central line be placed.
True
It is acceptable to scrub a patient initially with a provident iodine product.
True
T/F for a soft tissue kidney procedure the technician wants to clip from the midsternum to the pubis and then laterally to the edge of the ribs. a. True b. False
True
T/F the negative-pressure relief valve allows air to enter the anesthesia system if there was to ne negative pressure detected. a. True b. False
True
True or false It is accepted practice to scrub a patient initially with a providone-iodine product.
True
When using a povidone-iodine scrub, you should __________ use a povidone idodine solution in the final prep.
only