INSTRUCTIONS: Answer the following exercises by marking the letter response that best answers the question, by completing the incomplete statement, or by writing the answer in the space(s) provided.
After you have completed all the exercises, turn to “Solutions to Exercises” at the end of the lesson and check your answers. For each exercise answered incorrectly, reread the material referenced with the solution.
- List the major body systems that are affected by anesthesia.
2. What are the two possible negative effects of surgery on the integumentary
system?
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3. _______________________ is the separation of the wound edges without the protrusion of organs.
4. What are the two types of wound healing?
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5. List four factors that may impair wound healing.
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6. What is the most common type of drainage system for draining wounds?
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7. Why is it important to turn a patient during the postoperative phase?
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8. If regular methods do not control abdominal distension, what last measures are applied to reduce abdominal distention?
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9. NEX stands for _____________ __________________ __________________
10. When inserting the NG tube into the patient’s nose, why is it important to NOT use an oil-base lubricant?
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11. Why should long waiting periods be avoided when inserting a NG tube?
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12. When should the NG tube have reached the patient’s stomach?
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13. What two methods may be used when collecting and submitting a wound culture?
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Special Instructions for Exercises 14 Through 18. Match the terms in Column A with the correct definition in Column B. Place your answer in the blank space provided to the left of the number in Column A.
| COLUMN A | COLUMN B |
| ___ 14. Distention
___ 15. Evisceration ___ 16. Exudate ___ 17. Nasogastric tube ___ 18. Flatus |
a. Fluid usually containing pus, bacteria, or dead cells.
b. A rubber tube that is inserted through the nose down to the stomach. c. The state of being stretched out or bloated. d. Gas expelled rectally. e. Separations of the wound edges with the protrusion of organs. |
Check Your Answers
SOLUTIONS TO EXERCISES, LESSON 4
1. Respiratory
Cardiovascular
Urinary
Gastrointestinal (para 4-3)
2. Wound infection
Wound separations (paras 4-9a, b)
3. Dehiscence (para 4-9b(1))
4. Primary
Secondary (para 4-10)
5. Any four of the nine listed:
Inadequate nutrition
Hypoproteinemia and vitamin C deficiency
Anemia
Diminished blood supply to the area
Steroid administration
Obesity
Diabetes mellitus
Debilitating diseases like cancer
Infection (paras 4-11a through i)
6. Penrose drain (para 4-12b)
7. Allows for alternating maximum expansion of the uppermost lung. (para 4-13b)
8. Insertion of a nasogastric tube.
Insertion of a rectal tube. (paras 4-16b, c)
9. Nose to ear to xiphoid (para 4-16b(6)(a), fig 4-3)
10. Lipoid (fat) aspirational pneumonia could occur. (para 4-16b(7)(c))
11. Long delays can increase a patient’s anxiety/discomfort. (para 4-16b(8)(d))
12. When the target point on the tube reaches the patient’s nose. (para 4-16b(10)(a))
13. Break stick technique Culturette method (paras 4-17a(13))
14. c (para 4-2b)
15. e (para 4-9b(2))
16. a (para 4-2c)
17. b (para 4-2e)
18. d (para 4-2d)