How will you monitor for excessive postoperative blood loss?
What will be an ideal response?
Question 2List four critical potential postoperative problems for S.P.
What will be an ideal response?
Question 3S.P. receives reinfused blood as an intraoperative blood salvage. Which statements about this
procedure are true? Select all that apply.
a. The blood lost from surgery is immediately readministered to the patient.
b. The blood lost from surgery is collected into a cell saver.
c. One hundred percent of the red blood cells are saved for reinfusion.
d. This procedure has the same risks as blood transfusions from donors.
e. The salvaged blood must be reinfused within 6 hours of collection.
Question 4S.P. had an arthroplasty. For each characteristic listed, mark A for arthroplasty or O for open
reduction and internal fixation (ORIF) of the hip.
a. Also known as total hip replacement.
b. Metal pins, screws, rods, and plates are used to immobilize the fracture.
c. Replacement of the entire hip joint with a prosthetic (artificial) joint system.
Question 5Why is the antibiotic to be stopped before the anesthesia end time?
What will be an ideal response?
Question 6Place a star or asterisk next to each of the responses in question 1 that represent S.P.'s risk
factors.
What will be an ideal response?
Question 7S.P. is admitted to the orthopedic ward. She fell at home and sustained an intracapsular fracture of the
hip at the femoral neck. The following history is obtained from her: She is a 75-year-old widow with three
children living nearby.
Her father died of cancer at age 62; her mother died of heart failure at age 79 . Her
height is 5 ft 3 in; weight is 118 lb. She has a 50pack-year smoking history and denies alcohol use. She
has severe rheumatoid arthritis (RA) and gastroesophageal reflux disease (GeRd) and had coronary artery
disease with a coronary artery bypass graft 9 months ago. Since then she has engaged in very mild exer
cises at home. Vital signs (VS) are 128/60, 98, 14, 99 F (37.2 C), Spo2 94 on 2 L oxygen by nasal cannula.
Her oral medications are rabeprazole (Aciphex) 20 mg/day, prednisone (deltasone) 5 mg/day, and meth
otrexate (Rheumatrex) 2.5 mg/wk.
List at least four risk factors for hip fractures.
What will be an ideal response?
Question 8You remove his sock and find a large hematoma forming on the lateral aspect of an already
swollen ankle. The ankle also shows the color of a bruise that is several days old. You inquire
about D.M.'s pain perception.
He states, It doesn't feel too bad now, but I sure saw stars
when it popped. What is the significance of his statement?
What will be an ideal response?
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