Exam 10: Gastrointestinal Surgery

Jeannie Donahue is admitted for the fourth time for treatment and management of her pseudomyxoma peritonei,or peritoneal cancer.She is scheduled for open laparotomy for inspection with lymph node surveillance and frozen sections and peritoneal washings for cytologic examination.Her surgical oncologist has recommended a treatment that may slow the growth of the tumor seedings and prolong her life:intraoperative intraperitoneal hyperthermic chemotherapy.Jeannie's perioperative nurse prepares the OR and instructs the new scrub person on chemotherapy safety precautions.For this procedure,it is imperative that the staff:

Edward Lewis is scheduled for a transthoracic esophagectomy with lymph node dissection for cancer of the esophagus.Which incisional approach is indicated for this procedure?

Select the diagnosis/procedure option that pairs the correct surgical diagnosis with the surgical/endoscopic procedure for diseases of the esophagus:

As the surgeon prepared to clamp and transect the bowel during a small bowel resection for tumor,the scrub person transferred instruments from the Mayo stand to the back table and prepared the sterile field for bowel isolation technique.The rationale for this application involves which nursing diagnosis and matched stage of the nursing process?

During a laparoscopic colectomy,the scrub person carefully placed the endoscopic electrosurgery instruments on the Mayo stand after inspecting the integrity of the insulation along the shaft.This practice is designed to meet the expectation for the following nursing outcome:The patient will be free from:

Two patients are scheduled to have a gastrojejunostomy for obstruction.How will perioperative planning differ for a patient weighing 280 lb as compared to that for a 150-lb patient?