Deck 7: The Patient: the Reason for Your Existence

Question 1

On what foundations are cancer treatment and prognoses based?

A)Type of cancer and extent of the disease
B)Type of insurance the patient has
C)Type of surgery the patient chooses to have performed
D)Type of cancer-causing agents the patient was exposed to

Answer 1

A
Each type of cancer differs in its symptoms,behavior,and response to treatment.

Question 2

What form of diabetes mellitus involves the pancreas producing little or no insulin and usually occurs in juveniles and adults up to 40 years of age?

A)Type 1
B)Type 2
C)Type 3
D)Diabetes associated with other syndromes

Answer 2

A
Type 1,or insulin-dependent diabetes mellitus (IDDM),occurs when the pancreas produces little or no insulin and regular insulin injections are needed.Onset may be at any age but usually occurs in juvenile's ages 12 to 16,and adults up to age 40.

Question 3

One definition of a patient is

A)a healthy person using medical services.
B)an individual recipient of health care services.
C)adults or children who are sick.
D)a person trying to feel better.

Answer 3

B
A patient may be defined as an individual recipient of health care services.

Question 4

What term describes the conversion of nutritive material into complex living matter?

A)Catabolism
B)Metabolism
C)Retabolism
D)Anabolism

Question 5

When radiation sources are delivered to the OR,each needle,seed,or capsule must be counted by the surgeon with the radiation therapist and that number is recorded.

Question 6

A surgical patient with AIDS may present with which of the following?

A)Pneumocystis jiroveci pneumonia (PCP)
B)Hormonal receptor infection
C)Negative nitrogen imbalance
D)Anticholinergic impairment

Question 7

Patients are routinely asked to stop taking what medication 2 weeks before having a surgical procedure?

A)Antibiotics
B)Antihistamines
C)Albuterol inhalers
D)Aspirin

Question 8

Before administration of anesthetics,a patient may be acutely aware of the surroundings and activities.

Question 9

Which is a condition that an obese patient is predisposed to

A)hypolipidemia
B)hypotension
C)congestive heart failure
D)Carpal tunnel syndrome

Question 10

The body of a patient who dies in the OR or dies as a result of a crime becomes the property of the

A)hospital.
B)police department.
C)patient's family.
D)coroner.

Question 11

Which is Sister Callista Roy's conceptual model for nursing?

A)Caring
B)Self-care
C)Adaptation
D)Transition

Question 12

When allowing family members to view a deceased patient before the body is transported to the morgue,the perioperative nurse should

A)remain with the body and lend support.
B)use clichés when speaking with the family.
C)allow other patients to view the body as a reminder that life is short.
D)place blame on the surgeon who allowed this to happen.

Question 13

At what time of day should diabetic patients be scheduled for surgical procedures?

A)Middle of day
B)Late afternoon
C)Early in the day
D)Last case of the day

Question 14

Which irrigation is commonly used during a mastectomy procedure?

A)Sterile normal saline
B)Sterile water
C)Sterile ice cold saline
D)Marcaine with polymyxin

Question 15

What type of cancer is contained in the organs of its origin?

A)Localized
B)Metastatic
C)Disseminated
D)Regional

Question 16

What does the "no-touch" technique mean?

A)The skin over the site of a tumor is not cleaned or prepped before the procedure.
B)Vigorous scrubbing is needed to clean and prep the skin over a tumor site.
C)The tumor is handled as little as possible during its removal.
D)The skin over the tumor site is to be manipulated before prepping.

Question 17

In order for a victim of sexual trauma to regain a sense of control and security,the caregiver must

A)not wear gloves and use quick, brisk moves.
B)create loud noises and speak in loud tones in order to distract the patient.
C)approach the victim with patience and understanding.
D)constantly touch the patient to assure her or him that the hospital is a safe environment.

Question 18

At what point is a patient considered undernourished?

A)When the body weight is less than 60% to 70% of ideal body weight (IBW)
B)When the body weight is more than 50% to 65% of ideal body weight (IBW)
C)When the body weight is less than 70% to 80% of ideal body weight (IBW)
D)When the body weight is less than 40% to 50% of ideal body weight (IBW)

Question 19

In every state it is mandated that a health care worker who suspects child abuse must notify the child welfare authorities.

Question 20

What is one step a circulator can take when treating a patient who does not speak the same language being used in the operating room?

A)Speak loud and slow to the patient
B)Write all instructions on paper for patient or family to read
C)Use an interpreter to share information
D)Insist that the patient understands basic instructions before entering the OR

Question 21

The chain of evidence incorporates ____________________ of all findings associated with the patient,the suspected ____________________,and the ____________________.