S2L1: Medical Surgical Management Devices

Question 1

Provides access for long-term hemodialysis

Answer 1

AV fistula/graft

Question 2

Modified T/F:

A. Chest tube removes and prevents the reentry of air or fluid from the pleural or mediastinal space and provides positive intrapleural pressure
B. It is also used to treat pneumothorax, hemothorax and pleural effusion

Answer 2

FT

Chest tube provides negative intrapleural pressure

Question 3

For feeding, gastric decompression and keeping the stomach empty after surgery

Answer 3

Nasogastric tube (NGT)

Question 4

Delivers aerosolized water or medications to the respiratory tract, lungs, throat, or nose

Answer 4

Nebulizer

Question 5

Provides long-term access for nourishment to pts who are unable to tolerate food by mouth or have a nasoenteral obstruction, or for a patient with confusion/agitation at risk for nasoenteral tube dislodgement

Answer 5

Percutaneous endoscopic gastrostomy /
jejunostomy (PEG)

Question 6

Modified T/F:

A. Peripherally inserted Central catheter provides temporary access for delivery of
medications, fluids, electrolytes, nutrients, or blood product transfusions
B. Peripheral IV provides IV access for administration of total parenteral nutrition (TPN), medications, fluid, blood products, or chemotherapy

Answer 6

FF

Peripheral IV line: Provides temporary access for delivery of medications, fluids, electrolytes, nutrients, or
blood product transfusions

Peripherally Inserted Central Catheter: Provides IV access for administration of total parenteral nutrition (TPN), medications, fluid, blood products, or chemotherapy

Question 7

Modified T/F:

A. Peripheral IV line can be used to draw blood
B. Peripherally inserted central catheter are generally placed for midterm access (months to years)

Answer 7

FF

Peripheral IV line: cannot be used to draw blood
Peripherally Inserted Central Catheter: Generally placed for midterm access (weeks to months)

Question 8

Modified T/F:

A. Sequential compression devices provides intermittent pressure to the UE via gradual & sequential inflation and deflation of the air-filled sleeves
B. Promotes venous return, DVT and
venous thromboembolism secondary to
prolonged or postoperative bed rest or
inactivity

Answer 8

FF

A. Provides intermittent pressure to the **LE **via
gradual & sequential inflation and deflation of
the air-filled sleeves
B. Promotes venous return and ** Prevents **DVT and venous thromboembolism secondary to prolonged or postoperative bed rest or
inactivity.

Question 9

Modified T/F:

A. Suprapubic catheter are surgically placed catheter to the bladder temporarily after some bladder or gynecologic surgeries in cases of urinary retention (possibly caused by an obstructive tumor, stricture, periurethral abscess) or a severe voiding dysfunction.
B. May be used for SCI patients (severe spasticity of sphincters)

Answer 9

FT

A. Surgically placed catheter to the bladder temporarily or permanently after some bladder or gynecologic surgeries in cases of urinary retention (possibly caused by an obstructive tumor, stricture, periurethral abscess) or a severe voiding dysfunction.

Question 10

Give 3 types of surgical drain

Answer 10

1. Penrose
2. Jackson-Pratt
3. Hemovac

Question 11

Modified T/F:

A. Surgical drain removes excess air, blood, or fluid ( serum, lymph, bile, pus, of intestinal secretions) from a surgical site that would otherwise collect externally
B. It is used to control ecchymosis and to prevent deep wound infection

Answer 11

FT

Removes excess air, blood, or fluid ( serum, lymph, bile, pus, of intestinal secretions) from a surgical site that would otherwise collect internally

Question 12

AKA condom catheter

Answer 12

Texas Catheter

Question 13

Modified T/F:

A. A texas catheter collects urine via a sheath placed over the penis noninvasively
B. A condom catheter does not assist with drainage of urine from the bladder

Answer 13

TT

Texas catheter and condom catheter are the same

Question 14

Used for long-term (months to years) chemotherapy, hemodialysis, TPN, or other
intermittent infusion therapy

Answer 14

Vascular Access Port

Question 15

Modified T/F:

A. Urinary catheter is inserted through the urethra in both men & women to drain and collect urine
from bladder temporarily (<2wks)
B. It is used for urinary incontinence/retention, to
assist with postoperative bladder drainage,
when accurate measurements of urine output
is necessary, to prevent contamination in
patients with stages 1-4 pressure injury
on the buttocks/perineum

Answer 15

FF

A. <3wks
B. stage 2,3, or 4

Question 16

Drains excess CSF from the ventricles into the abdominal cavity/ peritoneum (VP) or right atrium of the heart (VA)

Answer 16

Ventriculoperitoneal shunt

Question 17

Clears secretions from the oral cavity or the oropharynx

Answer 17

Yankauer suction