The patient requires surgery to remove a bullet from his neck. This surgery is classified as:

Elective

Emergency

Palliative

Reconstructive

Answer and Explanation

The Correct Answer is B

A. Elective. Elective surgeries are planned in advance and are not urgent. Removing a bullet from the neck is not an elective procedure; it is necessary to treat an acute injury.

B. Emergency. The removal of a bullet from the neck is considered an emergency surgery. It is typically performed to address immediate life-threatening injury or to prevent further complications, such as damage to vital structures.

C. Palliative. Palliative surgeries are performed to relieve symptoms or improve quality of life in patients with terminal illnesses. Removing a bullet from the neck is not a palliative measure, as it is intended to treat an acute physical injury.

D. Reconstructive. Reconstructive surgeries aim to restore function or appearance after trauma, but removing a bullet is not primarily reconstructive. The goal here is to treat the immediate injury and prevent further harm.

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Correct Answer is D

Explanation

A. Circulating nurse: The circulating nurse does not obtain the surgical consent. Their role is to assist in the operating room by managing supplies, documentation, and ensuring the safety of the environment.

B. Admitting department: The admitting department is involved in the patient’s admission process but does not obtain surgical consent.

C. Scrub tech: The scrub tech assists during surgery but does not obtain surgical consent. Their role is focused on sterile technique and assisting with instruments.

D. Surgeon: The surgeon is the one responsible for obtaining the patient's informed consent for surgery, ensuring that the patient understands the procedure, risks, and benefits.

A. alternately compress and release to help blood flow through vessels. B. measure pressure in the leg blood vessels and sound an alarm if pressure rises. C. provide gentle continuous compression at low pressure. D. provide firm continuous compression at high pressure.

Correct Answer is A

Explanation

A. Alternately compress and release to help blood flow through vessels. Sequential compression devices (SCDs) work by alternating compression and release to promote venous return, prevent stasis, and reduce the risk of deep vein thrombosis (DVT). This is the correct mechanism of action for these devices.

B. Measure pressure in the leg blood vessels and sound an alarm if pressure rises. SCDs do not measure pressure; they are designed to apply intermittent pressure to the legs to encourage circulation and prevent clot formation.

C. Provide gentle continuous compression at low pressure. SCDs apply intermittent pressure, not continuous pressure. Continuous compression would not be effective in preventing DVT as it does not allow for the periodic relaxation of veins.

D. Provide firm continuous compression at high pressure. SCDs should apply intermittent, not continuous, pressure. High pressure could potentially harm the patient’s circulation and tissues, which is why the compression is designed to be gentle and alternating.

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The patient requires surgery to remove a bullet from his neck. This surgery is classified as:

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