Endoscopy Quiz for Nurses: Surgical Nursing Procedures and Interventions

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Questions and Answers

What is a common indication for a biopsy?

Inability to tolerate the procedure

Bleeding disorders

Infection at the biopsy site

Diagnosis of various conditions (correct)

What is a contraindication for a biopsy?

Inability to exercise

Monitoring of disease progression

Diagnosis of various conditions

Bleeding disorders or anticoagulant therapy (correct)

What is the primary nursing responsibility before a biopsy?

Monitor the patient's vital signs

Assist the physician with the procedure

Obtain informed consent (correct)

Provide post-procedure instructions

What is a potential complication of a lung biopsy?

All of the above Signup and view all the answers

What is a thoracotomy?

A surgical procedure to access the thoracic cavity Signup and view all the answers

What is a nursing responsibility during a biopsy?

Monitor the patient's vital signs and provide comfort measures Signup and view all the answers

What is the primary purpose of an endoscopic procedure?

To diagnose and treat medical conditions Signup and view all the answers

What is a contraindication for an endoscopic procedure?

Severe cardiopulmonary disease Signup and view all the answers

What is a nursing responsibility before an endoscopic procedure?

Obtaining informed consent Signup and view all the answers

What is one of the indications for thoracotomy?

Lung cancer Signup and view all the answers

What is the nurse's responsibility before the procedure?

Obtain informed consent and assess the patient's medical history Signup and view all the answers

What is a potential complication of an endoscopic procedure?

Bleeding Signup and view all the answers

What is the definition of a biopsy?

A medical procedure in which a small sample of tissue is removed from the body for analysis Signup and view all the answers

What is a complication that may occur after thoracotomy?

Respiratory distress Signup and view all the answers

What is a contraindication for thoracotomy?

Uncontrolled coagulopathy Signup and view all the answers

What is a nursing responsibility during an endoscopic procedure?

Monitoring the patient's vital signs and providing comfort measures Signup and view all the answers

What is the nurse's responsibility during the procedure?

Monitor the patient's vital signs and provide comfort measures Signup and view all the answers

What is a nursing responsibility after an endoscopic procedure?

Monitoring the patient for any immediate complications Signup and view all the answers

What is the nurse's responsibility after the procedure?

Monitor the patient for post-operative complications Signup and view all the answers

What is a type of endoscopic procedure?

Upper gastrointestinal endoscopy Signup and view all the answers

Study Notes

Endoscopic Procedures:

Definition: Examining the interior of a body canal or hollow organ using a flexible, lighted instrument called an endoscope.
Indications:
- Diagnostic purposes (e.g., upper/lower gastrointestinal endoscopy, bronchoscopy)
- Therapeutic purposes (e.g., removal of polyps, dilation of strictures)
Contraindications:
- Coagulopathy or active bleeding
- Severe cardiopulmonary disease
- Acute bowel obstruction or perforation
Nursing Responsibilities:
- Before the procedure:
  - Obtain informed consent
  - Assess patient's medical history and current condition
  - Prepare patient (e.g., fasting, bowel preparation)
  - Ensure appropriate equipment and supplies are available
- During the procedure:
  - Monitor patient's vital signs and provide comfort measures
  - Assist physician with the procedure as needed
  - Observe for and report any complications
- After the procedure:
  - Monitor patient for any immediate complications
  - Provide post-procedure instructions and education
  - Document the procedure and patient's response
Complications:
- Bleeding
- Infection
- Perforation
- Adverse reaction to sedation

Biopsy:

Definition: Removing a small sample of tissue from the body for analysis.
Indications:
- Diagnosis of various conditions (e.g., cancer, infection, inflammation)
- Monitoring of disease progression or treatment response
Contraindications:
- Bleeding disorders or anticoagulant therapy
- Infection at the biopsy site
- Inability to tolerate the procedure
Nursing Responsibilities:
- Before the procedure:
  - Obtain informed consent
  - Assess patient's medical history and current condition
  - Prepare patient (e.g., fasting, medication adjustments)
  - Ensure appropriate equipment and supplies are available
- During the procedure:
  - Monitor patient's vital signs and provide comfort measures
  - Assist physician with the procedure as needed
  - Observe for and report any complications
- After the procedure:
  - Monitor patient for any immediate complications
  - Provide post-procedure instructions and education
  - Document the procedure and patient's response
Complications:
- Bleeding
- Infection
- Pain
- Pneumothorax (for lung biopsies)

Thoracotomy:

Definition: A surgical procedure that involves making an incision into the chest wall to access the thoracic cavity.
Indications:
- Diagnosis and treatment of thoracic diseases (e.g., lung cancer, lung abscess, pleural effusion)
- Trauma management (e.g., repair of a ruptured diaphragm)
Contraindications:
- Severe cardiopulmonary disease
- Uncontrolled coagulopathy
- Inability to tolerate the procedure
Nursing Responsibilities:
- Before the procedure:
  - Obtain informed consent
  - Assess patient's medical history and current condition
  - Prepare patient (e.g., skin preparation, pain medication)
  - Ensure appropriate equipment and supplies are available
- During the procedure:
  - Monitor patient's vital signs and provide comfort measures
  - Assist surgeon with the procedure as needed
  - Observe for and report any complications
- After the procedure:
  - Monitor patient for post-operative complications (e.g., bleeding, infection, respiratory distress)
  - Provide post-operative care (e.g., pain management, respiratory therapy, wound care)
  - Document the procedure and patient's response
Complications:
- Bleeding
- Infection
- Respiratory distress
- Nerve damage
- Persistent pain

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Description

This quiz covers endoscopic procedures in surgical nursing, including biopsy and thoracotomy, and the nurse's responsibilities before, during, and after the procedure. It also explores complications and indications/contraindications.