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Chapter 4 Special Populations

AB
Which Physiological response to environmental temperature changes is missing or undeveloped in an infant of less than 6 months of age?shivering
Diabetes mellitus is a disorder of which body system?endocrine
In what way can the surgical technologist who is setting up his or her back table and Mayo stand reduce an 18-month-old patient's anxiety prior to induction of anesthesia?Perform normal duties of preparation of the sterile field, keeping as quiet as possible for induction.
What is the most common type of shock seen in infants and children?septic
An emergency laparotomy would be the indicated treatment for all of the following postoperative bariatic surgery complication except:thrombophlebitis
What is a common potential side effect of all forms of antibiotic therapy for major pediatric infection?psuedomembranous enterocolitis
Overgrowth of which microorgansim is most likely responsible for pediatric cases of enterocolitis following antibiotic therapy?Clostridium difficile
What is the number one cause of death in children ages 1 to 15 in the United State?accidents
A patient undergoing bariatic surgery may require extra time for general anesthetic reversal because anesthetic agents may be accumulated in and slowly eliminated from from what type of tissue?adipose fat
What is a coping mechanism often seen in children reacting to trauma?regression
What is a common response of pediatric patients to injury and may result in gastric dilation?hyperventilation
Which organ is responsible for the failure to produce insulin in a patient with type I diabetes?pancreas
What classification of antibiotics is contraindicated for use in neonates due to increased incidence of kernicterus?sulfonamides
What position enhances a bariatic patient's total lung volume and aids in ventilation?reverse Trendelenburg
Batriatic patients undergoing surgery and in the immediate postoperative period should have sequential compression devices applied to the lower extremities to preventdeep vein thrombosis
What type of physiological measurement method is rarely done in a neonatal patient due to risk of anatomical trauma?urethral catheterization for urinary output
what other condition frequently suffered by obese patients and discovered intraoperatively may be treated surgically in conjunction with a batriatric procedure?cholelithiasis
What is the name of the device used to test the blood of patients with diabetes for metabolic status?glucometer
What is the major cause of serious trauma suffered by pediatric patients?motor vehicle accidents
What is the usual cause of a clavicular fracture of a neonate during a vaginal delivery?shoulder dystocia
What is the chemical and physiological classification of insulin?hormone
During which part of pregnancy would an abdominal surgery be considered safest for both mother and fetus?second trimester
Placement of a rolled sheet or pad to elevate a pregnant's right hip, tilting the operating room table to the left with slight Trendelenburg, or both will shift the weight of the gravid uterus and relieve pressure from the:abdominal aorta and vena cava
Multiple sclerosis, lupus erythematosus, and rheumatoid arthritis are examples of:autoimmune disease
What patient condition might be characterized by physical appearance of flat nasal bridge and short neck with some impairment of cognitive ability and growth, slower, speech, and an affectionate to clingy persona?Down syndrome
For which condition would a patient coming to the operating room likely need an interpreter?Complete deafness
For what type of transmission - based disease would health care workers need to be fitted for an N-95 respiratory mask?airborne
What national agency may not be exposed to infectious diseases in their work environment?NFPA
For what special patient population group would the help of a counselor or social worker who could communicate the current state of mind or mood of the patient to the OR staff be of benefit to all parties involved?substance abuse
What is the term for the mechanism of injury in a trauma patient that takes into account velocity of the injuring force, flexibility of the tissue, and shape of the injuring force?kinematics
What level of trauma center designation can meet all the needs required for treating patients on a 24-hour basis?level I
What activity would present no risk of contracting HIV from an infected individual?conversation in close proximity
Kaposi's sarcoma is sometimes seen in combination with what diseases?AIDS
Because of the types of drugs used to prevent rejection of a transplanted organ, the recipient patient is considered to have what?immunosuppressed status
What is most often injured in motor vehicle accidents?spleen
The term golden hour refers to the reduction of morbidity and morality of what type of patient population?trauma victims
Physical forces of deceleration, acceleration, compression, and shearing are factors in what type of injury?blunt
High-or-low-velocity projectiles are factors in what type of injuries?penetrating
During a surgical procedure on a pregnant patient, the surgical technologist in the scrub role may be asked to palpate what area to detect possible contractions?gravid uterus
A patient with acquired immunodeficiency virus may have complications of multiple infections from diseases considered to be:opportunistic
In what pediatric age group would all of the craniofacial sinuses be fully developed?adolescent
What anesthetic method helps reduce the anxiety and stress experienced by pediatric surgical patients?rapid induction
Morbid obesity refers to patients whose body weight is greater than how many pounds over their ideal weight?100
What body system is highly susceptible to injury during positioning of bariatic and geriatric patients?integumentary
Vomiting from preoperative narcotics can predispose patients with diabetes to fluid and electrolytes imbalances resulting in:hypoglycemia
What is not a potential risk from administration of general anesthesia to a pregnant patient?placenta previa
What diagnosis could create a social stigma and possible overdramatization of exposure risk by health care workers?hmuan immunodeficiency virus
What special patient populations would likely require diagnostic biopsies for verification of cryptosporidiosis, candidiasis, or cytomegalovirus infections?HIV/AIDS
Conditions such as severe arthtritis, contractures, and tremors are categorized under what type of challenge?physical
What broad category of routes of transmission of microorganisms includes food, water, and medical devices and equipment?common vehicle
Approximately 80% of what special patient population presents to surgery with one or more co-morbid conditions?geriatric
What special patient populations group has a 30% to 80% statistical likelihood of coexisting psychiatric illness in addition to the diagnosis for which they are coming to surgery?substance abuse
To preserve evidence in a criminal case, what might be done to the patient's hands if the patient does not require surgery?bags are placed around the hands and taped in place.
In a surgical procedure on a severely injured trauma patient, what measures is of utmost importance?keeping the patient's spine in alignment during changes in position
A surgical technologist working in a Veteran's Adminsitration (VA) facility might frequently encounter patients with what conditions?PTSD


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