IV Fluids in the Surgical Setting Quiz

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Questions and Answers

What are the most commonly used IV fluids in the surgical setting?

  • Plasma
  • Crystalloids (correct)
  • Saline
  • Dextrose

Which of the following is the agent of choice for fluid replacement or simple hydration and one of the most common IV fluids used in surgery?

  • Plasma-Lyte
  • Dextrose
  • Lactated Ringer
  • Sodium chloride (NaCl) in a 0.9% solution (correct)

Which IV fluid is used in patients who require an easily metabolized source of calories, as it is a natural sugar found in the body and provides energy for cellular activity?

  • Dextrose (correct)
  • Lactated Ringer
  • Plasma-Lyte
  • Sodium chloride

Which IV fluid is a physiologic salt solution used to replenish the patient's electrolytes and for re-hydration to stimulate renal activity?

<p>Lactated Ringer (LR), or Ringer lactate (RL) (D)</p> Signup and view all the answers

Which IV fluid is used to replace fluid lost from burns or severe diarrhea, and closely resembles the composition of extracellular fluid?

<p>Lactated Ringer (A)</p> Signup and view all the answers

Which IV fluid is very similar to Lactated Ringer?

<p>Hartmann (A)</p> Signup and view all the answers

Which type of IV catheter is inserted via a needle into a vein, usually in the patient's hand or forearm?

<p>Flexible catheter, or Angiocath (C)</p> Signup and view all the answers

What connects the IV catheter hub to the container of intravenous solution?

<p>Tubing (C)</p> Signup and view all the answers

Which IV fluid is an electrolyte-balanced solution compatible with the pH of blood?

<p>Plasma-Lyte and Isolyte E (B)</p> Signup and view all the answers

Which IV fluid is the other most common IV fluid used in surgery, besides sodium chloride?

<p>Lactated Ringer (LR), or Ringer lactate (RL) (A)</p> Signup and view all the answers

What is the main function of primary tubing in the body?

<p>Transporting oxygen and nutrients (C)</p> Signup and view all the answers

What is the primary component of blood that transports oxygen?

<p>Erythrocytes (A)</p> Signup and view all the answers

Which component of blood provides protection against foreign microbes?

<p>Leukocytes (A)</p> Signup and view all the answers

What is the normal range for hemoglobin level in an adult male?

<p>14 to 18 g/100 mL (C)</p> Signup and view all the answers

What is the term for the volume of erythrocytes in a given volume of blood?

<p>Hematocrit (C)</p> Signup and view all the answers

How is blood type determined?

<p>By antigens on the surface of RBCs (B)</p> Signup and view all the answers

What is the most common indication for blood replacement in surgery?

<p>Hypovolemia (B)</p> Signup and view all the answers

'Packed cells' refer to which component used in most transfusions of donor blood?

<p>'Packed red blood cells' (A)</p> Signup and view all the answers

'Volume expanders' are used to increase what in case of hypovolemia?

<p>Plasma volume (D)</p> Signup and view all the answers

'Cryoprecipitate' is a plasma component used for treating bleeding in individuals with what condition?

<p>'Clotting disorders' (A)</p> Signup and view all the answers

What does (IV) mean?

<p>Intravenous, meaning administration of fluids or medications through a vein (C)</p> Signup and view all the answers

What are maintenance fluids?

<p>Fluids used to sustain normal fluid and electrolyte balance (C)</p> Signup and view all the answers

What are replacement fluids?

<p>Fluids used to replenish losses due to hemorrhage, vomiting, or diarrhea (A)</p> Signup and view all the answers

Approximately what percentage of total body weight is made up of fluids, electrolytes, and non-electrolytes?

<p>60% (D)</p> Signup and view all the answers

Which of the following is the most abundant anion in extracellular fluid and helps regulate osmotic pressure between intracellular and extracellular spaces?

<p>Chloride (C)</p> Signup and view all the answers

What is the main function of magnesium in the body?

<p>All of the above (D)</p> Signup and view all the answers

What are the three main purposes of electrolytes in homeostasis?

<p>Controlling the volume of body water, maintaining the acid-base balance, and serving as essential minerals (A)</p> Signup and view all the answers

Which of the following is a major electrolyte in the body?

<p>Sodium (D)</p> Signup and view all the answers

How are fluids distributed in the body?

<p>Fluids are distributed into two distinct compartments: Intracellular fluid (ICF) and Extracellular fluid (ECF) (C)</p> Signup and view all the answers

What is the primary function of chloride in the body?

<p>All of the above (D)</p> Signup and view all the answers

What is the term used for the patient donating their own blood prior to surgery?

<p>Autologous donation (C)</p> Signup and view all the answers

Which component of blood is typically used for most transfusions involving donor blood in surgery?

<p>Packed red blood cells (PRBCs) (C)</p> Signup and view all the answers

What is the term used for the use of donor blood in a transfusion?

<p>Homologous (C)</p> Signup and view all the answers

Which plasma component is used to treat bleeding caused by hemophilia?

<p>Cryoprecipitate (A)</p> Signup and view all the answers

What type of solutions are used to increase the total volume of body fluid when hypovolemia occurs?

<p>Volume expanders (C)</p> Signup and view all the answers

Which of the following is a synthetic solution used for its osmotic properties and has no oxygen-carrying capacity?

<p>Hetastarch (Hespan) (C)</p> Signup and view all the answers

What is the term used for the patient's own blood collected and used during or after surgery, or the use of volume expanders?

<p>Autotransfusion (B)</p> Signup and view all the answers

Which of the following is a plasma derivative used to provide volume expansion when crystalloid solutions are not adequate?

<p>Albumin and plasma protein fraction (PPF) (B)</p> Signup and view all the answers

What is the term used for the use of donor blood, or homologous blood, in a transfusion?

<p>Allogenous blood (D)</p> Signup and view all the answers

Which component of blood is infused to restore a more normal clotting process and to help repair damaged blood vessels?

<p>Platelets (C)</p> Signup and view all the answers

What is the primary function of blood in the body?

<p>To transport oxygen, nutrients, wastes, hormones, and enzymes throughout the body (A)</p> Signup and view all the answers

Which electrolyte is involved in bone growth, blood clotting, muscle contraction, and neurotransmitter release?

<p>Calcium (Ca2+) (D)</p> Signup and view all the answers

What is the normal range for calcium levels in the body?

<p>4.5 to 5.5 mEq/L (B)</p> Signup and view all the answers

What is the purpose of starting an IV drip on a patient?

<p>To establish direct access to the circulatory system for medication administration and fluid replacement (C)</p> Signup and view all the answers

Which component of blood is responsible for transporting oxygen and carbon dioxide?

<p>Erythrocytes (red blood cells) containing hemoglobin (B)</p> Signup and view all the answers

What is the abbreviation used to indicate keeping the intravenous line open?

<p>KVO or TKO (B)</p> Signup and view all the answers

Which component of blood mediates the clotting process?

<p>Platelets (B)</p> Signup and view all the answers

What is the normal range for hematocrit levels in the body?

<p>35% to 52% (C)</p> Signup and view all the answers

What is the term for the proteins present on the surface of red blood cells that determine blood type?

<p>Antigens (B)</p> Signup and view all the answers

Which component of blood provides protection against foreign microbes through phagocytosis and antibody production?

<p>Leukocytes (white blood cells) (A)</p> Signup and view all the answers

What is the transfer of responsibility for a task from one person to another known as?

<p>Delegation (C)</p> Signup and view all the answers

If a healthcare professional deliberately acts outside of their scope of practice, what is this known as?

<p>Malpractice (C)</p> Signup and view all the answers

What derogatory statement concerning coworkers' skills or character is known as unprofessional behavior?

<p>Defamation (A)</p> Signup and view all the answers

What occurs when a team member leaves the room for an extended period before or during surgery?

<p>Abandonment (C)</p> Signup and view all the answers

What is it called when a person lies under oath during court testimony?

<p>Perjury (D)</p> Signup and view all the answers

What is a legal document stating a patient's wishes for refusing or limiting care if they become incompetent called?

<p>Living will (A)</p> Signup and view all the answers

What is an unexpected occurrence involving death or serious psychological injury, or risk thereof?

<p>Sentinel event (B)</p> Signup and view all the answers

What guides health care professionals in their practice?

<p>Laws and regulations (B)</p> Signup and view all the answers

What is the primary purpose of law in most societies?

<p>Safeguarding against harm (A)</p> Signup and view all the answers

What do professional standards primarily promote?

<p>Safety and care (D)</p> Signup and view all the answers

Which of the following best describes ethics?

<p>Morals and values (B)</p> Signup and view all the answers

What ethics are particularly related to beneficence in health care professions?

<p>Integrity, accountability, honesty, and values (B)</p> Signup and view all the answers

What is the main focus of professional standards in healthcare?

<p>Helping to maintain quality care and safety (D)</p> Signup and view all the answers

What distinguishes laws from regulations in healthcare practice?

<p>Laws are stricter and more rigid than regulations (D)</p> Signup and view all the answers

What is the primary function of professional standards in healthcare?

<p>Ensuring quality care and patient safety (B)</p> Signup and view all the answers

What type of harassment involves verbal statements that are intended to damage a person's reputation?

<p>Slander (B)</p> Signup and view all the answers

Which of the following involves the threat or attempt to harm another person?

<p>Assault (B)</p> Signup and view all the answers

What type of harassment involves intentional physical contact with the intent to injure, even if no injury occurs?

<p>Battery (D)</p> Signup and view all the answers

Which law protects patients' medical records and other health information?

<p>HIPAA (C)</p> Signup and view all the answers

What is the legal record of a patient's interaction with healthcare providers and services?

<p>Documentation (A)</p> Signup and view all the answers

Which of the following is a form of harassment that involves unwanted sexual coercion, lewd comments, or touching?

<p>Sexual harassment (B)</p> Signup and view all the answers

What term refers to the deliberate efforts to erode the reputation of another person?

<p>Defamation (C)</p> Signup and view all the answers

Which of the following involves the threat or attempt to physically harm another person?

<p>Assault (B)</p> Signup and view all the answers

What type of act regulates the conduct of specific groups of people?

<p>Societal standards (D)</p> Signup and view all the answers

What is defined as a civil wrong—an act committed against a person or a person’s property?

<p>A tort (A)</p> Signup and view all the answers

Who has the right to equal treatment regardless of various factors?

<p>All patients (C)</p> Signup and view all the answers

What is the term for surgeries in which an item can be lost inside the patient and require two people to perform?

<p>Surgical counts (B)</p> Signup and view all the answers

Under the U.S. Constitution, what laws regulate businesses and professions like medicine and nursing?

<p>Medical practice acts, nurse practice acts (A)</p> Signup and view all the answers

What document must be signed by the physician, patient, and a witness before surgery proceeds?

<p>Informed consent (D)</p> Signup and view all the answers

Which federal standards outline the protection of a patient's privacy in healthcare?

<p>A patient’s privacy (A)</p> Signup and view all the answers

What is defined as 'personal standards' often influenced by culture and religion to govern personal conduct?

<p>Morals (B)</p> Signup and view all the answers

What is the Latin phrase adapted by the AST to describe its ethos?

<p>Aeger primo (D)</p> Signup and view all the answers

What is the term used for the verification procedure where the team pauses before surgery to acknowledge crucial information?

<p>Timeout (C)</p> Signup and view all the answers

Which of the following is a common circumstance in which patient falls occur?

<p>Unsafe transfer techniques are used (C)</p> Signup and view all the answers

What is required for any tissue or foreign object removed from the patient during surgery?

<p>Documentation (A)</p> Signup and view all the answers

Which of the following errors are among the most prevalent and serious errors occurring during surgery?

<p>Labeling errors (D)</p> Signup and view all the answers

What is the term used for neglecting a patient or leaving a patient unattended when they require the presence of a healthcare professional?

<p>Abandonment (B)</p> Signup and view all the answers

What can occur when a member of the team neglects to pass on vital information that requires action?

<p>Failure to communicate (A)</p> Signup and view all the answers

What would you consider sexually inappropriate comments from a doctor during surgery?

<p>Horizontal abuse (C)</p> Signup and view all the answers

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