Science Quiz / Surgical Nursing Exam 3

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Can you name the Surgical Nursing Exam 3?

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Questionanswerhint
part 2 of repair phase: _________ occurs
Multimodal anesthesia (reduces or increases) the dose of general anesthetic needed
which has faster recovery, IV or IM?
what is it that contracts and pulls skin inward during the wound contraction part of the repair phase
prevacuum autoclaving uses __psi, ____°F, and ___ min of sterilization, which takes __ total min
using two or more analgesic drug classes is known as ______ analgesia
hypertonic lavage fluids can cause _______
method of debridement: used for minimally contaminated wounds and as an adjunct to surgical debridement
_ ____ are small, unmyelinated, conduct pain sensation slowly, source of pain is hard to localize, and cause dull and aching or throbbing pain
high solubility = ____ induction/recovery
____ solubility means much of the gas dissolves into the blood and tissues
exaggerated pain sensation
second phase of wound healing
low solubility = _____ induction/recovery
_ _____ _____ are large, myelinated, conduct sensation of pain rapidly, source of pain is easily localized, and cause sharp discrete pain
pain felt despite adequate analgesic therapy
type of antiseptic with residual time of 4-6 hours
MAC
This type of disinfectant has no residual effect
MAC= lowest % producing no response to painful stimulus in __% of patients tested
type of heat sterilization with high temp, long duration
this type of suture (braided/monofilament) has a lower risk of infection
The most common gas used for sterilization
burying beneath skin
tissues should be kept _____ to prevent dessication
liquid anesthetics that evaporate easily are considered volatile, do these have a high or low vapor pressure?
type of wound closure: third intention healing, wound sutured closed 3-5 days post injury after granulation bed formed
To prevent inhaling waste gas you should stay _ feet from the patients nose
The biggest route of exposure to waste gas is ______, either from the patient, filling/emptying vaporizer, or spills
nerve cells that detect noxious stimuli (pain)
can we add antibiotics to lavage solutions?
Agents with ____ vapor pressures can use a nonprecision vaporizer
The prupose of lavage is to ____ and _____ bacteria, blood, and irritating fluids or solids
complete abscence of organisms
type of heat sterilization with lower temp for shorter time
if patient is extremely light or deep the vaporizer should be changed in max increments of ___-___%
Somatic pain sensation is in tissues with ____ numbers of nociceptors and is transmitted by A delta, C, or both fibers?
Questionanswerhint
a higher blood:gas solubility coefficient means (more/less) soluble in blood and tissues
this type of suture is broken down and resorbed, loses tensile strength by 60 days, used in quick healing tissues
lavage fluids should be what temp?
method of debridement: used for large wounds with substantial trauma and heavy contamination
unpleasant sensory or emotional experience due to injury, illness, etc.
naturally occurring chemicals in the brain are released by neurons in response to pain and provide analgesia, this is what?
The most common liquid used for sterilization
steps taken to prevent contamination of the surgical site by infectious agents
destroys organisms on living tissue
perception of pain
filler separates particles from liquids/gases- physical method of sterilization
death by protein destruction, susceptibility of microbes varies physical method of sterilization
pain that results from a non-injurious stimulus
A lower MAC number means a gas is ____ potent than another with a higher number
microbe that causes disease
what is smaller, 3-0 or 0
This is a measure of anesthetic potency used as a guide to determine adequate concentrations for Sx
nerve impulses travel along sensory neurons from peripheral tissue to spinal cord and then to brain, this is what?
pathogens/toxins in blood/tissues
type of wound closure: wound sutured 1-3 days post injury, require cleaning and debridement, wounds 6-8 hrs old
this nonadherent primary bandage layer is used for moderately to copiously exudative wounds, must be changed often
which has faster recovery, inhalent or injectable?
the source of microorganisms that surgical team can control is ___genous
this nonadherent primary bandage layer is used for minimally exudative wounds, promotes epithelialization, and requires fewer changes
destruction of organisms but not spores on an object
absence of pain sensation without loss of consciousness
this type of suture is not broken down with time or takes >60 days, used in slow healing areas
sensory nerve endings continuously fire pain signals, these travel to spinal cord and increase firing of SC neurons
type of wound closure: contraction and epithelialization, granulation tissue fills defect, needs loose skin
part 1 of repair phase: ________ tissue forms
does mono or multi filament usually have no memory
tendency of a gas to dissolve in the blood and tissues
all anesthetic gases cause decreased ___ ____ and ____ ___
type of antiseptic with long residual time of ~2 days
To prevent diffusion hypoxia with nitrous oxide we can run a ____ Oxygen flow rate
The two types of autoclave are ____ ________ and _____
What is the calculation for medium depth anesthesia? ____ X ____
Questionanswerhint
The one major disadvantage of sevo and iso is that there is no what?
third phase of wound healing
destruction of organisms and spored on an object
part 3 of repair phase: wound __________
chemical methods of sterilization can use ____ or ___
____ ______ is the amount of liquid anesthetic that will evaporate at 20°C/68°F
do not use _____ preparations for lavage as they are very irritating to tissues
Liquid anesthetics with _____ to _____ vapor pressures require precision vaporizers
during which wound healing phase is there a LARGE increase in wound strength
solubility determines the _____ if induction and recovery
Place in correct order: A. transmission, B.modulation, C.perception, D.transduction
____ solubility means most of the gas remains as a gas in the alveoli
Type of surgical drain that is thin-walled, fluids drain around outside of tube
Type of surgical drain that is thick-walled, one end is in body cavity while other is attached to suction device
skin coming open is called _________
type of wound closure: 'first intention healing', sutured or grafted soon after injury, fresh clean wound
lavage fluid pH should be _____
gravity displacement autoclaving uses __-__psi, ____°F, and ___ min of sterilization, which takes __ total min
All anesthetic gases are eliminated by ______
_______ enter the wound during granulation
fourth phase of wound healing
lavage fluids should be ___tonic
conversion of chemical, thermal, or mechanical energy into nerve impulses
method of debridement: used for small wounds in areas with loose skin
______ within the blood clot provides minimal wound strength
first phase of wound healing
amount of force suture can withstand before breaking
_______ release factors that initiate wound healing
if patient is slightly light or deep the vaporizer should be changed in increments of ___-___%
which autoclave type is better?
antiseptic solutions added to lavage must be ______
destroys microbes without heat- physical method of sterilization
Visceral pain sensation is in tissues with ____ numbers of nociceptors and is transmitted by A delta, C, or both fibers?
hypotonic lavage fluids can cause tissue _____
maintaining anesthesia using a combination of inhalent and injectable is common in what species?

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