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OR Nurse:
doi: 10.1097/01.ORN.0000423059.60392.aa
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Robotic-assisted laparoscopic bowel resection for diverticular disease

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INSTRUCTIONS Robotic-assisted laparoscopic bowel resection for diverticular disease

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Robotic-assisted laparoscopic bowel resection for diverticular disease

GENERAL PURPOSE: To provide nurses with information about robotic-assisted laparoscopic bowel resection for diverticular disease. LEARNING OBJECTIVES: After reading the article and taking this test, you should be able to: 1. Discuss the etiology, classification, incidence, preventative diet, and surgical treatment options for diverticular disease. 2. Describe the procedure, benefits, and role of the perioperative nurse during robotic-assisted laparoscopic bowel resection.

1. The percentage of patients with acute attacks of diverticular disease requiring surgery is

a. 5% to 10%.

b. 15% to 30%.

c. 35% to 40%.

d. 65% to 80%.

2. Sigmoid resections are performed for the majority of cases by

a. open abdominal incision.

b. laparoscopic bowel resection.

c. hand-assisted laparoscopic surgery.

d. robotic-assisted laparoscopic bowel resection.

3. Proximal colonic diverticula are observed in which population?

a. Asian

b. Hispanic

c. European

d. Caribbean

4. One cause of colonic diverticula is

a. high dietary fiber intake.

b. colonic vascular changes.

c. disordered colonic motility.

d. autoimmune response.

5. All of the following are associated with complicated diverticular disease except

a. abscess.

b. bilious vomiting.

c. inflammation.

d. fistulization.

6. According to the grading of the clinical classification system, complicated diverticular disease is

a. grade 1.

b. grade 2.

c. grade 3.

d. grade 4.

7. The recommended diagnostic test for grades 2 and 3 diverticular disease is

a. colonoscopy.

b. barium enema.

c. computed tomography scan.

d. magnetic resonance imaging.

8. Using the Hinchey Classification system, stage 1 would include

a. pericolic abscess.

b. retroperitoneal abscess.

c. generalized fecal peritonitis.

d. generalized purulent peritonitis.

9. Preoperatively on the day of surgery, the perioperative nurse should

a. have the patient drink 8 oz of water.

b. administer a bowel preparation.

c. use two designated patient identifiers.

d. obtain surgical consent from the patient.

10. The RN's preprocedure responsibilities for robotic-assisted surgery include which of the following?

a. Turn the robot on so it can perform a self-check.

b. Position the robotic arms.

c. Attach the scopes to the camera.

d. Dock the robot.

11. A benefit of using the robot for surgery is viewing anatomy in

a. smaller images for better overall view.

b. actual-size view.

c. two times magnified views.

d. three-dimensional images.

12. Benefits of robotic surgery over traditional laparoscopic bowel resection include all except

a. less pulling on tissue.

b. less postoperative nausea and vomiting.

c. less blood loss.

d. fewer conversions to open surgery.

13. Before the procedure starts, the patient should be tested for tolerance to which position?

a. lithotomy

b. Trendelenburg

c. reverse Trendelenburg

d. left lateral recumbent

14. To dock to the trocars, the robot is moved over the patient's left lower body at what angle?

a. 15 degrees

b. 30 degrees

c. 45 degrees

d. 90 degrees

15. During robotic surgery, the greater omentum is positioned over the

a. transverse colon.

b. uterus.

c. small bowel.

d. sigmoid colon.

16. After the rectal division, robot docking, and downsizer removal, the 12-mm port is used to insert the

a. CO2.

b. sutures.

c. linear stapler.

d. circular stapler anvil.

17. The most common site for diverticula formation is the

a. sigmoid colon.

b. transverse colon.

c. ascending colon.

d. descending colon.

18. One high fiber food to help reduce risk of diverticular disease is

a. tofu.

b. oatmeal.

c. fish.

d. creamy peanut butter.

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