Daily Archives: December 2, 2020

Describe the appearance of the stool specimens if steatorrhea is present.

1. Laboratory studies are being performed on a 5-year-old boy to determine whether there is a metabolic reason for his continued failure to gain weight. In addition to having blood drawn, the patient has a sweat chloride collected, provides a random stool sample, and is asked to collect a 72-hour stool sample.

a. How can the presence of steatorrhea be screened for by testing the random stool sample?

b. How does this test distinguish among neutral fats, soaps, and fatty acids? c. What confirmatory test should be performed?

d. Describe the appearance of the stool specimens if steatorrhea is present.

e. If a diagnosis of cystic fibrosis is suspected, state two screening tests that could be performed on a stool specimen to aid in the diagnosis.

f. State….

What is the possible nonpathologic cause of the unexpected results for Patient #1? Patient #2? Patient #3?

1. A physician’s office laboratory is experiencing inconsistencies in the results of patient-collected specimens for FOBT. Patients are instructed to submit samples from two areas of three different stools. Positive and negative controls are producing satisfactory results. Patient #1 is a 30- year-old woman taking over-the-counter medications for gastric reflux who has reported passing frequent, black stools. The results of all three specimens are negative for occult blood. Patient #2 is a 70-year-old woman suffering from arthritis. She is taking the test as part of a routine physical. The results of all three specimens are positive for occult blood. Patient #3 is a 50-year-old man advised by the doctor to lose 30 lb. He has been doing well on a high-protein, low-carbohydrate diet. Two of his three specimens….

List three complications that can occur with this disorder.

1.  A 30-year-old woman has symptoms of dysuria, vaginal itching, and a white, curd-like discharge. During her visit at the Women’s Clinic, the patient revealed that she had recently completed a regimen of broad-spectrum antibiotics as treatment for a urinary tract infection. Her health-care provider takes a swab of the vaginal secretions for analysis.

a. What tests will be performed on the vaginal specimen?

b. Based on the patient history and observation of the vaginal secretion, which test will be diagnostic for the probable diagnosis?

c. What confirmatory test can be performed?

d. What is the probable diagnosis?

e. What is the first choice of treatment?

Q 68

1. A sexually active teenager visited the Women’s Clinic complaining of vaginal itching and soreness. She indicated that she was….

Explain how this condition can occur.

1. During a routine visit with the gynecologist, a 60-year-old woman complained of vaginal dryness and soreness. During the examination, the health-care provider noted erythema of the vaginal mucosa. The pH of the vaginal secretions was 6.0. The KOH and amine (Whiff) tests were negative. The microscopic examination revealed epithelial cells, basal cells, decreased lactobacilli, and increased gram-positive cocci and gram-negative rods.

a. What is the name of this condition?

b. Explain how this condition can occur.

c. What is the treatment for this condition?

What does one do with instruments with more than one piece?

1. What does one do with instruments with more than one piece?

2. Why should one segregate sharp instruments from the rest?

3. How do you differentiate the instruments actually used on the procedure from those that remained unused on the back table?

4. What risk for adverse outcomes related to a surgical incision do all patients face?

5. Contrast wound dehiscence with wound evisceration.

Discuss the various causes of wound dehiscence, evisceration, and infection.

1. What other adverse outcomes are associated with wound dehiscence or evisceration?

2. Discuss the various causes of wound dehiscence, evisceration, and infection.

3. What are the evaluation criteria for desired outcomes for patients who undergo surgery?

4. What are the criteria for Class I (clean) wounds?

5. List some procedures that are considered clean cases.

Q140

1. What are some of the characteristics of clean cases?

2. What are the criteria for Class II (clean contaminated) wounds?

3. List some procedures that are considered clean contaminated cases.

4. What criteria indicate that a wound is contaminated (Class III)?

5. Identify some surgical procedures that are considered contaminated cases.

Differentiate between inhalation and intravenous induction.

1. How does general anesthesia affect the patient?

2. In which two ways can general anesthesia be administered?

3. Describe nitrous oxide (N2O).

4. How are volatile anesthetics changed from a liquid to a gas so that they can be inhaled by the patient?

5. Describe the characteristics of desflurane.

Q171;

1. Why is desflurane suitable for ambulatory surgery procedures?

2. Which characteristic of desflurane makes it the agent of choice for obese patients?

3. Why is desflurane not used for an inhalation induction?

4. Differentiate between inhalation and intravenous induction.

5. Which characteristics of sevoflurane make it the anesthetic agent of choice for children?

Describe one method of monitoring compliance with the safety plan.

1. Describe one method of monitoring compliance with the safety plan.

2. What should be done with the results of compliance monitoring?

3. How can assessment results be used?

4. Describe ways to increase knowledge and promote engagement in the safety program.

5.Identify ignition sources for fire in the operating room.

Q209

1. What characteristic of the operating room environment places it at high risk for fire?

2. What national organization is responsible for Fire Code standards and Life Safety Code standards?

3. What criteria does TJC require of operating room personnel related to fire safety?

4. Identify five components of a fire safety plan.

5. How should a facility plan for fire incidents?

Explain what evaluation means in your own words.

1. Define evaluation. Explain what evaluation means in your own words. Provide an example of an evaluation and draw a graph, picture, or in other ways illustrate what evaluation means to you.  2. Locate and read at least one article that uses a participatory approach to evaluation and another that does not use that approach. Summarize the main points of each article and discuss differences between the approaches.  3. Identify a culture different from your own. Which of the characteristics you know about in that culture are similar to those of your culture and which are different from those of your own culture? Make a list. Now, do a literature search to learn more about the culture you selected and write a one – to – two page….