Question 1

Lung volume reduction surgery (LVRS)is an alternative surgical treatment for patients with which pulmonary condition?

Accepted Answer

A)  Chronic pulmonary asthma with oxygen needed to keep saturation at 90% 
B)  Acute unilateral pulmonary emphysema 
C)  Chronic pulmonary emphysema 
D)  Unsuccessful or failed laser surgery for giant lung bulla 
A)  Chronic pulmonary asthma with oxygen needed to keep saturation at 90% 
B)  Acute unilateral pulmonary emphysema 
C)  Chronic pulmonary emphysema 
D)  Unsuccessful or failed laser surgery for giant lung bulla

Question 2

A 52-year-old school teacher diagnosed with early stage nonsmall cell lung cancer is scheduled for a lung resection.She is selected for the ambulatory surgery center's fast track recovery and discharge program.Which of the following statements describes a component of an ERAS care approach for thoracic surgery?

Accepted Answer

A)  Cessation of smoking and participation in a preoperative exercise program is required. 
B)  Postoperatively, chest tube management is streamlined by placing the tube to water seal after a brief period of suction. 
C)  Patients will not be discharged to home with the chest tube in place. 
D)  Early ambulation is critical and patients walk a short distance within the first hour after extubation. 
E)  Fluid administration is kept to a minimum to minimize the risk of pulmonary edema and acute lung injury. 
A)  Cessation of smoking and participation in a preoperative exercise program is required. 
B)  Postoperatively, chest tube management is streamlined by placing the tube to water seal after a brief period of suction. 
C)  Patients will not be discharged to home with the chest tube in place. 
D)  Early ambulation is critical and patients walk a short distance within the first hour after extubation. 
E)  Fluid administration is kept to a minimum to minimize the risk of pulmonary edema and acute lung injury.

Question 3

A 59-year-old retired roofer with mesothelioma is scheduled for a left pleurodesis for malignant pleural effusion and unresolved spontaneous pneumothorax.The perioperative nurse responsible for the thoracic surgery service has consulted with the surgeon and determined that talc will be used.What are the nursing implications related to the use of talc?

Accepted Answer

A)  Talc requires special handling and nurses should follow hospital policies and procedures. 
B)  Adverse reactions to talc include pain, neutropenia, and potential toxicity from systemic absorption. 
C)  Talc may be administered as a poudrage, aerosol, or slurry. 
D)  Patients must be assessed for talc allergy. 
A)  Talc requires special handling and nurses should follow hospital policies and procedures. 
B)  Adverse reactions to talc include pain, neutropenia, and potential toxicity from systemic absorption. 
C)  Talc may be administered as a poudrage, aerosol, or slurry. 
D)  Patients must be assessed for talc allergy.

Lung volume reduction surgery (LVRS)is an alternative surgical treatment for patients with which pulmonary condition?

Concepts Basic to Perioperative Nursing

Patient Safety and Risk Management

Workplace Issues and Staff Safety

Infection Prevention and Control

Anesthesia

Positioning the Patient for Surgery

Sutures, sharps, and Instruments

Surgical Modalities

Wound Healing, dressings, and Drains

Postoperative Patient Care and Pain Management

Gastrointestinal Surgery

Surgery of the Biliary Tract, pancreas, liver, and Spleen

Hernia Repair

Gynecologic and Obstetric Surgery

Genitourinary Surgery

Thyroid and Parathyroid Surgery

Breast Surgery

Ophthalmic Surgery

Otorhinolaryngologic Surgery

Orthopedic Surgery

Neurosurgery

Reconstructive and Aesthetic Plastic Surgery

Vascular Surgery

Cardiac Surgery

Pediatric Surgery

Geriatric Surgery

Trauma Surgery

Interventional and Image-Guided Procedures

Integrative Health Practices: Complementary and Alternative Therapies

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Exam 23: Thoracic Surgery

Lung volume reduction surgery (LVRS)is an alternative surgical treatment for patients with which pulmonary condition?

Concepts Basic to Perioperative Nursing

Patient Safety and Risk Management

Workplace Issues and Staff Safety

Infection Prevention and Control

Anesthesia

Positioning the Patient for Surgery

Sutures, sharps, and Instruments

Surgical Modalities

Wound Healing, dressings, and Drains

Postoperative Patient Care and Pain Management

Gastrointestinal Surgery

Surgery of the Biliary Tract, pancreas, liver, and Spleen

Hernia Repair

Gynecologic and Obstetric Surgery

Genitourinary Surgery

Thyroid and Parathyroid Surgery

Breast Surgery

Ophthalmic Surgery

Otorhinolaryngologic Surgery

Orthopedic Surgery

Neurosurgery

Reconstructive and Aesthetic Plastic Surgery

Vascular Surgery

Cardiac Surgery

Pediatric Surgery

Geriatric Surgery

Trauma Surgery

Interventional and Image-Guided Procedures

Integrative Health Practices: Complementary and Alternative Therapies

Filters