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Vet 301 Surgical Nursing Chapter 34
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Preguntas del test (44)
1Therapeutic drug levels must be present in the wound fluid (serum and interstitial tissues) at the time of surgical incision, or the antibiotics will be ineffective. They should be given at least _______ minutes before the surgical incision is made.
- A10
- B20
- C30
- D60
2Potential problems that could arise during anesthesia and surgery that a veterinary technician should always be on the lookout for include
- Ahypothermia.
- Bblood loss.
- Cdecreased blood pressure.
- Dall of the above.
3It is not unusual for packed cell volume (PCV) and total plasma protein (TP) to drop up to ______% as a result of anesthesia and surgery, even when no major blood loss has occurred.
- A1
- B3
- C5
- D10
4Animals with substantial blood loss may experience ________, as well as rapid heart rate with weak peripheral pulses, rapid respiratory rate, and pale or white mucous membranes.
- Ahypothermia
- Bbradycardia
- Capnea
- Da decrease in CRT
5If hemorrhage from a ruptured spleen is suspected, a __________ may be performed.
- Athoracocentesis
- Bpericardiocentesis
- Cabdominocentesis
- Durocentesis
6If an abdominocentesis is performed, the PCV of the fluid when compared to the systemic PCV will be _______ if hemorrhage into the abdominal cavity is actively occurring.
- Aequal to the systemic PCV
- Bhigher than the systemic PCV
- Clower than the systemic PCV
- Dnot comparable to the systemic PCV
7To help offset hypothermia during the intraoperative and postoperative periods, all of the following are recommended except
- Awrapping paws and the body in plastic wrap.
- Bheat lamps.
- Cactively warmed cages and surgery tables.
- Dwarm water bottles (or gloves filled with warm water).
8Ointments and creams applied to a surgical incision can
- Ahelp the wound heal more quickly.
- Bprevent the animal from feeling pain.
- Ccan cause irritation and delay healing.
- Ddecrease inflammation.
9Dehiscence which can occur in the postoperative period refers to
- Aswelling.
- Bdrainage.
- Credness.
- Dwound breakdown.
10Swelling secondary to surgical trauma will usually resolve within____ to _____ after surgery
- A1 to 3 hours
- B1 to 3 days
- C3 to 7 days
- D1 to 3 weeks
11Accumulation of serum under a surgical incision may last for weeks and is called a
- Ahematoma
- Bteratoma
- Cseroma
- Dplasmoma
12Seromas are not typically drained because
- Aof the increase in pain this would cause.
- Bof the increased chance for infection.
- Cseromas resolve within hours postoperatively.
- Ddraining would result in significant blood loss.
13Infection along tissue planes that can arise postoperatively is called
- Adehiscence.
- Bphlebitis.
- Ccellulitis.
- Dplanitis.
14Complete dehiscence of a thoracic wound will result in _______________ (air within the chest causing collapse of the lungs), a problem that may result in sudden death.
- Aatelectasia
- Bpneumothorax
- Cpneumonia
- Dpleuritis
15Wounds can drain excessively, causing serum to seep through the bandage and extend to the external environment. This is called ____________________.
- Aserum sickness
- Bblow-back
- Cfly-strike
- Dstrike-through
16Veterinary technicians should advise clients that animals undergoing routine sterilization or simple mass removal usually require _________ of restricted activity, whereas animals undergoing orthopedic surgery will likely require 6 to 8 weeks of confinement.
- A1 to 2 days
- B10 to 14 days
- C2 to 3 weeks
- D2 months
17Tail docking and dewclaw removal in puppies should be performed during which time period?
- AThe first 24 hours after birth
- BThe first 1 to 2 days after birth
- CThe first 3 to 5 days after birth
- DThe first 1 to 2 weeks after birth
18Onychectomy is painful. Pain medication should be administered
- Aon an “as needed basis.”
- Bonly intraoperatively.
- Cif the cat exhibits signs of pain.
- Dto all cats in the postoperative period.
19Animals being prepared for an exploratory celiotomy should always be clipped widely because
- Aof aesthetic reasons.
- Bit allows for better draping of the patient.
- Cthe incision may have to be extended.
- Dit allows for better postoperative bandaging of the area.
20During abdominal surgery, any excess hemorrhage on the viscera is blotted away with moistened sponges. The surfaces of the viscera should not be wiped with sponges because this
- Acauses tissue trauma.
- Bdislodges blood clots.
- Call of the above.
- Dnone of the above.
21Intraoperative intestinal and pancreatic manipulation can lead to ________, temporary loss of intestinal motility.
- Aileus
- Bintussusception
- Cinappetance
- Denterotomy
22_______________ is the suturing together of portions of the gastrointestinal tract to allow confluent ingesta flow. It is performed when damaged tissue or a tumor requires a segment of the gastrointestinal tract to be removed.
- AEnterotomosis
- BAnastomosis
- CCeliotomosis
- DGastrotomosis
23Characteristics of intestinal devitalization include the following except
- Alack of motility.
- Black of bleeding on the cut section.
- Cpurple and red discoloration.
- Dlack of fluorescein dye uptake.
24Prior to gastrointestinal surgery the veterinary technician should have two surgical packs prepared or at the least extra instruments
- Abecause surgical instruments get slippery when covered with GI content.
- Bin case the primary pack is contaminated with intestinal contents during the procedure.
- Cin case the incision must be extended.
- Dbecause these instruments can only be used once.
25Gastropexy is attachment of the stomach to the body wall after a dog experiences GDV in order to
- Aprevent further bloat.
- Bprevent any further rotation.
- Ccreate a permanent adhesion.
- Dcreate a better flow of digesta.
26Animals suffering from GDV usually are in shock. This shock is classified as
- Aseptic.
- Bhypovolemic.
- Canaphylaxtic.
- Daspirationic.
27Ovariohysterectomy if performed during estrus or pregnancy in the dog increases the potential surgical risk due to
- Aincreased hormones which increases the potential for hemorrhage.
- Bincreased vasculature which increases the potential for hemorrhage.
- Cincreased tissue which increases the potential for hemorrhage.
- Dincreased blood pressure which increases the potential for hemorrhage.
28During a routine ovariohysterectomy, the most painful manipulation will occur during ____, and the veterinary technician must be mindful of the anesthetic plane at this point in the surgery.
- Atearing of the suspensory ligament.
- Bexteriorization of the uterus.
- Cincision of the uterine body.
- Dclosure of the linea alba.
29A possible complication of pyometra includes
- Aperitonitis.
- Bintussusception.
- Ceunuchoid syndrome.
- Durinary incontinence.
30Which reason is incorrect regarding why prophylactic antibiotics are used prior to a surgery?
- ATo decrease risk of infection.
- BTo minimize postoperative complications.
- CTo minimize the amount of disinfection required to prepare for surgery.
- DTo prevent infections due to intraoperative exposure.
31 When would prophylactic antibiotics not be appropriate?
- AThe patient is on concurrent immunosuppressive drugs.
- BThe operation takes 30 minutes.
- CThe urinary bladder is going to be entered during surgery.
- DThe knee joint will be entered.
32Which of the following is not one of the common criteria used to determine if monitoring of the patient in the postoperative period is no longer necessary?
- AThe patient can eat and swallow its food.
- BThe patient reaches normal temperature.
- CThe patient resists the presence of the endotracheal tube, so it is removed.
- DThe patient is responsive.
33What is the purpose of a “stay” suture?
- AA permanent suture, designed to stay in the body for the remainder of life
- BTo steady a tissue within an incision
- CTo keep a tissue out of the way of an incision
- DTo tie a tissue to the body wall, such as in GDV repair
34 For an exploratory celiotomy, which layer of the three-layered closure is the holding layer?
- AThe linea alba
- BThe subcutaneous layer
- CThe skin
- DAll three layers are equally supportive
35Which of the following procedures would be considered a nonelective surgery?
- ACancer mass removal
- BOvariohysterectomy
- CTracheostomy due to an obstruction
- DStifle stabilization prior to cranial cruciate repair
36Which of the following is true regarding feline onychectomy?
- AIt is a pain-free procedure.
- BIt is defined as tail-docking in cats.
- CBleeding is minimal, so the use of a tourniquet is discouraged.
- DIt is an elective procedure.
37 When should a surgical patient be administered pain-relief medication?
- AAs needed
- BAt the first sign of pain
- CPrior to any potential pain occurring
- DAfter the surgery ends
38What occurs with wound dehiscence?
- AThe wound contracts with scar tissue.
- BThe wound layers separate.
- CThe wound is covered with a sterile dressing.
- DThe wound heals by 1st intention processes.
39How much time should be given after a surgery before the external sutures can be removed?
- A48 hours
- B1 week
- C2 weeks
- D4 weeks
40A/an _____ is an external opening surgically created in the male feline’s urogenital tract that is large enough for passage of urine, mucus, crystals, and small calculi without obstruction.
- APerineal urethrostomy
- BPelvic orchidectomy
- CPerineal urethrotomy
- DPelvic ostectomy
41At which temperature (° F) should a postoperative dog or cat be removed from any external heating devices?
- A80 degrees
- B90 degrees
- C100 degrees
- D110 degrees
42Which of the following is true regarding mammary neoplasms in companion animals?
- AThe vast majority of mammary tumors in dogs are malignant.
- BMost feline mammary tumors are malignant.
- CDogs and cats do not generally develop mammary neoplasm.
- DMost malignant mammary tumors metastasize to the liver.
43What is the term used to indicated the generalized removal of a mass?
- AMastectomy
- BBursectomy
- CLumpectomy
- DBulgectomy
44Which is correct regarding an animal with a diaphragmatic hernia?
- AIt is an emergency condition, requiring immediate surgical intervention.
- BIt is important to exercise the patient to help diagnose a herniation.
- CDiaphragmatic hernias should be suspected in all cases of trauma.
- DDiaphragmatic hernias are hard to identify on radiographs.
Información
- Descripción
- Veterinary Medicine Test sobre Vet 301 Surgical Nursing Chapter 34, creado por Kelly Kinsinger el 28/11/2018.
- Autor
- Kelly Kinsinger
- Idioma
- English
- Visitas
- 24
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