89 Questions
What are the most commonly used IV fluids in the surgical setting?
Crystalloids
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?
Sodium chloride (NaCl) in a 0.9% solution
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
Which IV fluid is a physiologic salt solution used to replenish the patient's electrolytes and for re-hydration to stimulate renal activity?
Lactated Ringer (LR), or Ringer lactate (RL)
Which IV fluid is used to replace fluid lost from burns or severe diarrhea, and closely resembles the composition of extracellular fluid?
Lactated Ringer
Which IV fluid is very similar to Lactated Ringer?
Hartmann
Which type of IV catheter is inserted via a needle into a vein, usually in the patient's hand or forearm?
Flexible catheter, or Angiocath
What connects the IV catheter hub to the container of intravenous solution?
Tubing
Which IV fluid is an electrolyte-balanced solution compatible with the pH of blood?
Plasma-Lyte and Isolyte E
Which IV fluid is the other most common IV fluid used in surgery, besides sodium chloride?
Lactated Ringer (LR), or Ringer lactate (RL)
What is the main function of primary tubing in the body?
Transporting oxygen and nutrients
What is the primary component of blood that transports oxygen?
Erythrocytes
Which component of blood provides protection against foreign microbes?
Leukocytes
What is the normal range for hemoglobin level in an adult male?
14 to 18 g/100 mL
What is the term for the volume of erythrocytes in a given volume of blood?
Hematocrit
How is blood type determined?
By antigens on the surface of RBCs
What is the most common indication for blood replacement in surgery?
Hypovolemia
'Packed cells' refer to which component used in most transfusions of donor blood?
'Packed red blood cells'
'Volume expanders' are used to increase what in case of hypovolemia?
Plasma volume
'Cryoprecipitate' is a plasma component used for treating bleeding in individuals with what condition?
'Clotting disorders'
What does (IV) mean?
Intravenous, meaning administration of fluids or medications through a vein
What are maintenance fluids?
Fluids used to sustain normal fluid and electrolyte balance
What are replacement fluids?
Fluids used to replenish losses due to hemorrhage, vomiting, or diarrhea
Approximately what percentage of total body weight is made up of fluids, electrolytes, and non-electrolytes?
60%
Which of the following is the most abundant anion in extracellular fluid and helps regulate osmotic pressure between intracellular and extracellular spaces?
Chloride
What is the main function of magnesium in the body?
All of the above
What are the three main purposes of electrolytes in homeostasis?
Controlling the volume of body water, maintaining the acid-base balance, and serving as essential minerals
Which of the following is a major electrolyte in the body?
Sodium
How are fluids distributed in the body?
Fluids are distributed into two distinct compartments: Intracellular fluid (ICF) and Extracellular fluid (ECF)
What is the primary function of chloride in the body?
All of the above
What is the term used for the patient donating their own blood prior to surgery?
Autologous donation
Which component of blood is typically used for most transfusions involving donor blood in surgery?
Packed red blood cells (PRBCs)
What is the term used for the use of donor blood in a transfusion?
Homologous
Which plasma component is used to treat bleeding caused by hemophilia?
Cryoprecipitate
What type of solutions are used to increase the total volume of body fluid when hypovolemia occurs?
Volume expanders
Which of the following is a synthetic solution used for its osmotic properties and has no oxygen-carrying capacity?
Hetastarch (Hespan)
What is the term used for the patient's own blood collected and used during or after surgery, or the use of volume expanders?
Autotransfusion
Which of the following is a plasma derivative used to provide volume expansion when crystalloid solutions are not adequate?
Albumin and plasma protein fraction (PPF)
What is the term used for the use of donor blood, or homologous blood, in a transfusion?
Allogenous blood
Which component of blood is infused to restore a more normal clotting process and to help repair damaged blood vessels?
Platelets
What is the primary function of blood in the body?
To transport oxygen, nutrients, wastes, hormones, and enzymes throughout the body
Which electrolyte is involved in bone growth, blood clotting, muscle contraction, and neurotransmitter release?
Calcium (Ca2+)
What is the normal range for calcium levels in the body?
4.5 to 5.5 mEq/L
What is the purpose of starting an IV drip on a patient?
To establish direct access to the circulatory system for medication administration and fluid replacement
Which component of blood is responsible for transporting oxygen and carbon dioxide?
Erythrocytes (red blood cells) containing hemoglobin
What is the abbreviation used to indicate keeping the intravenous line open?
KVO or TKO
Which component of blood mediates the clotting process?
Platelets
What is the normal range for hematocrit levels in the body?
35% to 52%
What is the term for the proteins present on the surface of red blood cells that determine blood type?
Antigens
Which component of blood provides protection against foreign microbes through phagocytosis and antibody production?
Leukocytes (white blood cells)
What is the transfer of responsibility for a task from one person to another known as?
Delegation
If a healthcare professional deliberately acts outside of their scope of practice, what is this known as?
Malpractice
What derogatory statement concerning coworkers' skills or character is known as unprofessional behavior?
Defamation
What occurs when a team member leaves the room for an extended period before or during surgery?
Abandonment
What is it called when a person lies under oath during court testimony?
Perjury
What is a legal document stating a patient's wishes for refusing or limiting care if they become incompetent called?
Living will
What is an unexpected occurrence involving death or serious psychological injury, or risk thereof?
Sentinel event
What guides health care professionals in their practice?
Laws and regulations
What is the primary purpose of law in most societies?
Safeguarding against harm
What do professional standards primarily promote?
Safety and care
Which of the following best describes ethics?
Morals and values
What ethics are particularly related to beneficence in health care professions?
Integrity, accountability, honesty, and values
What is the main focus of professional standards in healthcare?
Helping to maintain quality care and safety
What distinguishes laws from regulations in healthcare practice?
Laws are stricter and more rigid than regulations
What is the primary function of professional standards in healthcare?
Ensuring quality care and patient safety
What type of harassment involves verbal statements that are intended to damage a person's reputation?
Slander
Which of the following involves the threat or attempt to harm another person?
Assault
What type of harassment involves intentional physical contact with the intent to injure, even if no injury occurs?
Battery
Which law protects patients' medical records and other health information?
HIPAA
What is the legal record of a patient's interaction with healthcare providers and services?
Documentation
Which of the following is a form of harassment that involves unwanted sexual coercion, lewd comments, or touching?
Sexual harassment
What term refers to the deliberate efforts to erode the reputation of another person?
Defamation
Which of the following involves the threat or attempt to physically harm another person?
Assault
What type of act regulates the conduct of specific groups of people?
Societal standards
What is defined as a civil wrong—an act committed against a person or a person’s property?
A tort
Who has the right to equal treatment regardless of various factors?
All patients
What is the term for surgeries in which an item can be lost inside the patient and require two people to perform?
Surgical counts
Under the U.S. Constitution, what laws regulate businesses and professions like medicine and nursing?
Medical practice acts, nurse practice acts
What document must be signed by the physician, patient, and a witness before surgery proceeds?
Informed consent
Which federal standards outline the protection of a patient's privacy in healthcare?
A patient’s privacy
What is defined as 'personal standards' often influenced by culture and religion to govern personal conduct?
Morals
What is the Latin phrase adapted by the AST to describe its ethos?
Aeger primo
What is the term used for the verification procedure where the team pauses before surgery to acknowledge crucial information?
Timeout
Which of the following is a common circumstance in which patient falls occur?
Unsafe transfer techniques are used
What is required for any tissue or foreign object removed from the patient during surgery?
Documentation
Which of the following errors are among the most prevalent and serious errors occurring during surgery?
Labeling errors
What is the term used for neglecting a patient or leaving a patient unattended when they require the presence of a healthcare professional?
Abandonment
What can occur when a member of the team neglects to pass on vital information that requires action?
Failure to communicate
What would you consider sexually inappropriate comments from a doctor during surgery?
Horizontal abuse
Test your knowledge on the different types of IV fluids commonly used in surgical settings, including crystalloids, sodium chloride solution, and dextrose. This quiz covers the purpose and usage of these IV fluids in hydrating and providing nutrients to surgical patients.
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