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Self-Test Lesson 4 Exercises

EXERCISES, LESSON 4

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.

1. List the major body systems that are affected by anesthesia.

2. What are the two possible negative effects of surgery on the integumentary
   system?
   __________________________________________________________

__________________________________________________________

3. _______________________ is the separation of the wound edges without the
   protrusion of organs.
   

4. What are the two types of wound healing?
   
   __________________________________________________________

   __________________________________________________________

5. List four factors that may impair wound healing.

___________________________________________________

___________________________________________________

___________________________________________________

___________________________________________________

6. What is the most common type of drainage system for draining wounds?

   ____________________________________________________

7. Why is it important to turn a patient during the postoperative phase?

   ____________________________________________________

   ____________________________________________________

8. If regular methods do not control abdominal distension, what last measures are applied to reduce abdominal distention?

   ____________________________________________________

   ____________________________________________________

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?

    ______________________________________________________

11. Why should long waiting periods be avoided when inserting a NG tube?

    _______________________________________________________

12. When should the NG tube have reached the patient's stomach?

    _______________________________________________________

13. What two methods may be used when collecting and submitting a wound culture?

    _______________________________________________________

    _______________________________________________________

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.

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)

End of Lesson 4

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