Patient Preparation Examination

Patient Preparation Examination in patients with which of the following characteristics is it recommended to wait a longer period before extubation because of likelihood of vomiting or airway obstruction? a. dolichocephalic b. undershot mandible c. brachycephalic d. cleft palate - Answer- Brachycephalic in a pug the endotracheal tube should be removed: a. as soon as the surgery or diagnostic technique is completed b. only after the animal is fully conscious and able to maintain a free airway c. when the animal is taken off the anesthesia machine d. as soon as the animal begins to swallow and cough - Answer- only after the animal is fully conscious and able to maintain a free airway what position is the patient placed in on the surgery table for thoracic surgery? a. dorsal recumbency b. right lateral recumbency c. left lateral recumbency d. any of the above may be appropriate e. none of the above - Answer- any of the above may be appropriate the final sterile scrub should be performed on the patient just before entering the operating room T/F - Answer- False For orthopedic surgeries of the extremities, only the side of the limb to be incised needs to be clipped and prepped T/F - Answer- False what are some safe techniques for preventing hypothermia in small animal surgical patients? a. circulating warm water pads b. electric heating pads c. snugglesafe discs d. all of the above c. both a and c - Answer- both a and c In nonbrachycephalic breeds of dogs recovering from anesthesia, the endotracheal tube should be removed when the: a. palpebral reflex returns b. swallowing reflex returns c. pupils resume a central position d. animal shows voluntary movement of the limbs - Answer- swallowing reflex returns An initial presurgical scrub is performed on the patient either in the surgical preparation room or in the operating room T/F - Answer- False what position is the patient placed in for abdominal exploratory surgery? a. sternal recumbency b. dorsal recumbency c. right lateral recumbency if the left side of the abdomen needs to be accessed d. left lateral recumbency if the right side of the abdomen needs to be accessed - Answer- dorsal recumbency Why does an orthopedic "clip and prep" of an extremity need to include a circumferential clip around the entire limb? a. if the incision goes all the way through the limb and out the other side, the other side will already be prepped for this scenario b. if the surgeon mistakenly incises the wrong side of the limb with the first incision, and if the leg is clipped circumferentially, the mistake is easily corrected c. for patient comfort d. all of the above e. none of the above - Answer- none of the above when scrubbing the skin of the intended surgical site, sufficient friction should be generated to cause hyperemia T/F - Answer- False it is necessary to shave between the patient and the ground plate when using electrocautery technology in order to prevent the occurrence of burns T/F - Answer- False Ideally an endotracheal tube should be inserted so that: a. its tip is midway between the thoracic inlet and the larynx b. the adapter is just caudal to the incisors c. it is deep enough to prevent backing out d. its tip just reached the third rib - Answer- its tip is midway between the thoracic inlet and the larynx The general recommendation for initial skin preparation of a surgical site consists of scrubbing and rinsing a. 2 times b. 3 times c. 4 times d. 5 times - Answer- 3 times