UTMB-ADULT I EXAM 1 QUESTIONS WITH
COMPLETE SOLUTIONS
Ablative Correct Answers Excision or removal of diseased
body part
Ex. amputation; removal of appendix or an organ
Abrasion Correct Answers superficial wound with liitle
bleeding and its consider a partial thickness
Actual losses Correct Answers Necessary losses
-Maturational losses
-Situational losses
Acute Pain Correct Answers it is a protective pain because if
the patient is in pain they can avoid using that particular limb...
and is pain that last less than 3 months. Its usually sudden, theres
a known cause such as a papercut.
Adolescent Self-Concept Correct Answers Identity confusion
Disturbed body image
Self-esteem
Role conflict
age Correct Answers Very young and older patients are at
greater surgical risk as a result of immature or a declining
physiological status. These patients often present problems in
temperature control during surgery. General anesthetics inhibit
shivering and cause vasodilation, which results in heat loss. This
,anesthetics changes coupled with age-related physiological
factors increase the risk for unintended hypothermia. Infants
also have difficulty maintaining normal circulatory blood
volume, causing a risk for dehydration and over hydration.
With advancing age patients have less physical capacity to adapt
to stress of surgery. Thus the risk for surgical complications
increase due to physiological, cognitive/psychological, and
sociological changes associated with aging
agnostic Correct Answers one who believes that there is no
known ultimate reality
Airborne Precautions Correct Answers focus on diseases that
are transmitted by smaller droplets, which remain in the air for
longer period of times. This requires a specially equipped room
with a negative air flow referred to as an airborne infection
isolation room. All healthcare personnel needs to wear a N95
respiratory mask
Aldrete score Correct Answers determined the patient
consciousness and the patient consciousness determined when
the patient will be release
Patient rating scale based on specific criteria assessed at 5, 15,
30, 45 and 60 minutes to determine discharge from PACU
Criteria Includes (Max two points each):
, -Activity (voluntary movement; or do they need help getting
up)
-Respiratory- (can they breath on their own or are they
struggling)
-Circulation
-Consciousness
-Oxygen Saturation
A patient with a score of an 8-10 will be discharged from
PACU.
*the patient will nor be release if they don't get at leas at 8 score
Ambulatory Surgery Advantages Correct Answers you go into
surgery and then you go home:
-Low Residual Anesthetic Drugs
-Cost Savings
-HAI Occurrence Reduced
-Less Invasive procedures
-Advances in Technology
low anesthesia analgesic
less invasive surgery
allows the patient to recover at home
allows the patient to be able not acquire hospital infection such
as ammonia/immonia
Ambulatory Surgery Correct Answers Out-Patient or
Freestanding Clinics
, Includes some the following services:
-Ophthalmic
-Gastroenterological
-GYN
-ENT
-Orthopedics
-Plastic
-General
-23 Hour Observation
Ambulatory Surgery Disadvantages Correct Answers -Home
Recovery
-Complications
-Risk of Non-Compliance with instructions
-Risk of Infection
-Requires Family/Social Support
-Risk for Re-Admittance
if they don't follow orders/medication they are going to end up
coming back and be at risk for infections due to no compliance
needs family support to help them
American Society of Anesthesiologist Patient Classification
System (ASA) Correct Answers P1 Healthy Patient (her foot
surgery; elective;nonurgent)
P2 Mild Systemic Disease
P3 Non-Controlled Severe Systemic Disease
P4 Life Threatening Severe Systemic Disease
P5 Patient is terminal without surgery (Moribund patient)
P6 Brain Dead patient - Organ Donation
COMPLETE SOLUTIONS
Ablative Correct Answers Excision or removal of diseased
body part
Ex. amputation; removal of appendix or an organ
Abrasion Correct Answers superficial wound with liitle
bleeding and its consider a partial thickness
Actual losses Correct Answers Necessary losses
-Maturational losses
-Situational losses
Acute Pain Correct Answers it is a protective pain because if
the patient is in pain they can avoid using that particular limb...
and is pain that last less than 3 months. Its usually sudden, theres
a known cause such as a papercut.
Adolescent Self-Concept Correct Answers Identity confusion
Disturbed body image
Self-esteem
Role conflict
age Correct Answers Very young and older patients are at
greater surgical risk as a result of immature or a declining
physiological status. These patients often present problems in
temperature control during surgery. General anesthetics inhibit
shivering and cause vasodilation, which results in heat loss. This
,anesthetics changes coupled with age-related physiological
factors increase the risk for unintended hypothermia. Infants
also have difficulty maintaining normal circulatory blood
volume, causing a risk for dehydration and over hydration.
With advancing age patients have less physical capacity to adapt
to stress of surgery. Thus the risk for surgical complications
increase due to physiological, cognitive/psychological, and
sociological changes associated with aging
agnostic Correct Answers one who believes that there is no
known ultimate reality
Airborne Precautions Correct Answers focus on diseases that
are transmitted by smaller droplets, which remain in the air for
longer period of times. This requires a specially equipped room
with a negative air flow referred to as an airborne infection
isolation room. All healthcare personnel needs to wear a N95
respiratory mask
Aldrete score Correct Answers determined the patient
consciousness and the patient consciousness determined when
the patient will be release
Patient rating scale based on specific criteria assessed at 5, 15,
30, 45 and 60 minutes to determine discharge from PACU
Criteria Includes (Max two points each):
, -Activity (voluntary movement; or do they need help getting
up)
-Respiratory- (can they breath on their own or are they
struggling)
-Circulation
-Consciousness
-Oxygen Saturation
A patient with a score of an 8-10 will be discharged from
PACU.
*the patient will nor be release if they don't get at leas at 8 score
Ambulatory Surgery Advantages Correct Answers you go into
surgery and then you go home:
-Low Residual Anesthetic Drugs
-Cost Savings
-HAI Occurrence Reduced
-Less Invasive procedures
-Advances in Technology
low anesthesia analgesic
less invasive surgery
allows the patient to recover at home
allows the patient to be able not acquire hospital infection such
as ammonia/immonia
Ambulatory Surgery Correct Answers Out-Patient or
Freestanding Clinics
, Includes some the following services:
-Ophthalmic
-Gastroenterological
-GYN
-ENT
-Orthopedics
-Plastic
-General
-23 Hour Observation
Ambulatory Surgery Disadvantages Correct Answers -Home
Recovery
-Complications
-Risk of Non-Compliance with instructions
-Risk of Infection
-Requires Family/Social Support
-Risk for Re-Admittance
if they don't follow orders/medication they are going to end up
coming back and be at risk for infections due to no compliance
needs family support to help them
American Society of Anesthesiologist Patient Classification
System (ASA) Correct Answers P1 Healthy Patient (her foot
surgery; elective;nonurgent)
P2 Mild Systemic Disease
P3 Non-Controlled Severe Systemic Disease
P4 Life Threatening Severe Systemic Disease
P5 Patient is terminal without surgery (Moribund patient)
P6 Brain Dead patient - Organ Donation
