Skip Navigation LinksHome > November 10, 2012 - Volume 6 - Issue 6 > Robotic-assisted laparoscopic bowel resection for diverticul...
OR Nurse:
doi: 10.1097/01.ORN.0000423059.60392.aa
CE Connection

Robotic-assisted laparoscopic bowel resection for diverticular disease

Free Access
Article Outline
Collapse Box

Author Information

For more than 83 additional continuing education articles related to surgical topics, go to\CE.

Earn CE credit online: Go to and receive a certificate within minutes.

Back to Top | Article Outline

INSTRUCTIONS Robotic-assisted laparoscopic bowel resection for diverticular disease


* To take the test online, go to our secure Web site at

* On the print form, record your answers in the test answer section of the CE enrollment form on page 25. Each question has only one correct answer. You may make copies of these forms.

* Complete the registration information and course evaluation. Mail the completed form and registration fee of $24.95 to: Lippincott Williams & Wilkins, CE Group, 74 Brick Blvd., Bldg. 4 Suite 206, Brick, NJ 08723. We will mail your certificate in 4 to 6 weeks. For faster service, include a fax number and we will fax your certificate within 2 business days of receiving your enrollment form.

* You will receive your CE certificate of earned contact hours and an answer key to review your results.There is no minimum passing grade.

* Registration deadline is December 31, 2014.

Back to Top | Article Outline

* Send two or more tests in any nursing journal published by Lippincott

* Williams & Wilkins together and deduct $0.95 from the price of each test.

* We also offer CE accounts for hospitals and other health care facilities on Call 1-800-787-8985 for details.

Back to Top | Article Outline

Lippincott Williams & Wilkins, publisher of ORNurse2012 journal, will award 2.5 contact hours for this continuing nursing education activity. Lippincott Williams & Wilkins is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

Lippincott Williams & Wilkins is also an approved provider of continuing nursing education by the District of Columbia and Florida #FBN2454. This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 2.5 contact hours.

Your certificate is valid in all states.

The ANCC's accreditation status of Lippincott Williams & Wilkins Department of Continuing Education refers only to its continuing nursing educational activities and does not imply Commission on Accreditation approval or endorsement of any commercial product.

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.

Figure. No caption a...
Image Tools

© 2012 Lippincott Williams & Wilkins, Inc.