CVM 3022 - Exam 4 Book Questions

Ch. 9 and 12 (3rd) and Ch. 11 and 13 (4th)

What constitutes the recovery period of anesthesia?

Cessation of anesthesia to the time the patient’s vital signs and level of consciousness return to normal

As a general rule, extubation of which of these dog breeds should be delayed until they are able to lift their head?

Pug

Shivering in a patient recovering from anesthesia indicates…

The patient’s body is attempting to produce heat

Rewarming should be considered when the body temperature is…

Rewarming efforts should be decreased as the patient’s body temperature returns to normal to avoid…

Rebound hyperthermia

Which of these is a patient-related cause of prolonged recovery from anesthesia?

Hypotension

Which breed of dog is more likely to have postoperative bleeding related to Von Willebrand disease?

Doberman pinscher

The process of autotransfusion is administering…

Blood aseptically collected from a patient’s body cavity back to the patient

Premature loss of sutures that allows the surgical site to open is called…

Dehiscence

The forceful rinsing of a wound is called…

Lavage

Which material is an example of an occlusive dressing?

Natural cellulose

If a patient’s wound is left open for 2 days and protected with a dressing, then surgically closed, what type of wound closure was performed?

Delayed primary closure

The primary layer of a bandage is also known as…

Contact layer

A catheter placed in which vein allows monitoring of central venous pressure?

Jugular

What is the FDA-approved appetite stimulant for dogs?

Capromelin

Which type of physical therapy limits swelling by causing vasoconstriction?

Cryotherapy

Intervention for nutritional support should be provided when a patient has been completely anorexic for…

3 days

List three methods to prevent an animal from causing self-trauma to an incision postoperatively.

Hobbling

Foul tasting product applied around incision

E-collar

BiteNot collar

Bandage

Basket muzzle

Adequate pain management

List three things that contribute to hypothermia in a perisurgical patient.

Preanesthetic drugs

Induction drugs

Shaving of hair

Opening of abdomen or thorax

Analgesic drugs

List three clinical signs that may indicate postoperative internal bleeding.

Slow CRT

Rapid RR

Pale MM

Abdominal bloating

Swelling at/around surgical site

When bandaging a distal extremity, how can a limb be monitored for swelling?

Leave the distal digits open and monitor toes for swelling. The middle digits should only be a few millimeters apart. If they are further apart, the toes are swollen.

What is the benefit of feeding a commercially prepared diet instead of a homemade diet when feeding a patient via a tube?

The commercially prepared diet has a known caloric density, so it is easier to calculate the amount to feed.

How often should the client monitor the surgery incision after the patient is discharged?

Twice daily

Clinical signs of prolonged recovery from anesthesia include…

Lethargy, anorexia, and depression

Infection within the abdominal cavity after surgery is called…

Peritonitis

At what age should an ovariohysterectomy be performed on a dog?

When recommended by the veterinarian

A client called to ask about vaginal discharge from her bulldog that had a cesarean section 3 days ago. What would be considered a normal discharge for this patient?

Bloody and mucousy

What is the typical appearance of colostrum when expressed from the mammary gland?

Yellow and sticky

When can a cat be transitioned back to clay or clumping litter post-onychectomy?

10-14 days

Commercially fed liquid diets should be fed via feeding tubes that are less than what diameter?

8 French

How long should hematuria be expected post-cystotomy?

Up to 36 hours

Approximately how long should a patient be self-feeding before a feeding tube is removed?

2 weeks

List three reasons a patient should be rechecked post-perianal surgery.

If the patient develops diarrhea

If the patient is straining to defecate/painful when defecating

Fecal incontinence

What is a simple way to help clients monitor for migration of a feeding tube?

Draw on the tube with permanent marker at the site the tube is with skin level

What feeding recommendations should be made post-dental extraction?

Feed canned, semi-moist food or dry food that has been soaked in water until mushy

List three postoperative complications of a lateral ear resection.

Insufficient drainage of ear post-op

Sustained ear infections post-op

Possible self-mutilation of the ear by the patient

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List two methods of preventing or removing discharge around a perianal incision.

Warm compresses

Petroleum jelly around the site

List the five items that should be addressed in a general post-anesthesia instruction.

Feeding

Confinement

Medications

Signs of possible adverse reactions

How to reach the hospital or 24-hour emergency clinic