Author Question: An appendectomy is appropriately documented by the nurse as: 1. Diagnostic surgery 2. Palliative ... (Read 37 times)

mikaylakyoung · **on:** Jul 23, 2018

An appendectomy is appropriately documented by the nurse as:

1. Diagnostic surgery
2. Palliative surgery
3. Ablative surgery
4. Reconstructive surgery

Question 2

A 43-year-old client is scheduled to have a gastrectomy. Which of the following is a major pre-operative concern?

1. The client's brother had a tonsillectomy at age 11.
2. The client smokes a pack of cigarettes a day.
3. The client has an intravenous (IV) infusion.
4. The client has a history of employment as a computer programmer.

nathang24 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: 3
Ablative surgery is the excision or removal of a diseased body part, such as an appendectomy. Diagnostic surgery is surgical exploration that allows the health care provider to confirm a diag-nosis. This type of surgery may involve removal of tissue for further diagnostic testing. An ex-ample would be a breast mass biopsy. Palliative surgery relieves or reduces the intensity of dis-ease symptoms. It will not produce a cure. An example is resection of nerve roots. Reconstructive surgery restores function or appearance to traumatized or malfunctioning tissues. An example is internal fixation of a hip fracture.

Answer to Question 2

ANS: 2
The client who smokes is at greater risk for postoperative pulmonary complications than a client who does not. An IV should be in place for surgery so access is available to administer medica-tions, fluids, or blood products if necessary. Keeping the client well hydrated will help prevent postoperative thrombophlebitis.