INSTRUCTIONS Laparoscopic surgery: A cut above the rest?
* To take the test online, go to our secure website at http://www.nursingcenter.com/ORnurse.
* On the print form, record your answers in the test answer section of the CE enrollment form on page 34. 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 October 31, 2015.
DISCOUNTS and CUSTOMER SERVICE
* 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 nursingcenter.com. Call 1-800-787-8985 for details.
Lippincott Williams & Wilkins, publisher of ORNurse2013 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 #50-1223. 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.
Laparoscopic surgery: A cut above the rest?
General Purpose: The purpose of this learning activity is to provide information about the advantages and disadvantages of laparoscopic surgery. Learning Objectives: After reading this article and taking this test, the nurse will be able to: 1. Discuss the techniques used to establish a pneumoperitoneum. 2. Recognize complications of laparoscopic surgery. 3. Describe nursing considerations related to laparoscopic surgery.
1. Laparoscopy allows for visualization of the abdominal cavity through the use of a
2. Pneumoperitoneum is achieved by insufflating the abdomen to a pressure of
a. 0 to 5 mm Hg.
b. 6 to 10 mm Hg.
c. 12 to 15 mm Hg.
d. 25 to 30 mm Hg.
3. The most suitable gas to create the pneumoperitoneum is
b. carbon dioxide.
d. nitrous oxide.
4. Which surgical technique uses a Veress needle to access the abdomen?
a. closed access
b. open access
c. direct visual access
d. laser-assisted access
5. A failed drop test indicates that the Veress needle is
a. in the proper place.
6. The incidence of complications occurring during laparoscopic procedures is
a. 1% to 5%.
b. 6% to 9%.
c. 10% to 12%.
d. d.13% to 15%.
7. Complications of laparoscopic procedures include all categories except
a. complications of access.
b. complications during the procedure.
c. physiologic complications related to pneumoperitoneum.
d. physiologic complications related to closure.
8. A serious complication associated with the closed technique is injury to the
9. Which symptom is not apparent within 2 to 4 days following small bowel injury?
a. lower abdominal pain
d. elevated WBC count
10. The most fatal complication associated with laparoscopic surgery is
a. liver injury.
b. lung injury.
c. bowel injury.
d. vascular injury.
11. Pneumoperitoneum causes which acid-base imbalance?
a. metabolic acidosis
b. metabolic alkalosis
c. respiratory acidosis
d. respiratory alkalosis
12. The most frequent complication of laparoscopic surgery is
c. electrosurgical injury.
d. urologic injury.
13. Patients with which disorder are at particular risk for death from pneumoperitoneum?
b. sickle cell disease
c. heart failure
14. Women with a previous cesarean section may be at high risk for
a. laser injury.
b. necrotizing faciitis.
c. bladder injury.
d. bowel injury.
15. The most common respiratory complication of laparoscopy is
b. subcutaneous emphysema.
c. carbon dioxide embolism.
d. endobronchial intubation.
16. Treatment of a gas embolism consists of placing the patient in which position?
a. right lateral head up
b. right lateral head down
c. left lateral head up
d. left lateral head down
17. A nursing care priority immediately postoperatively is to monitor for
c. elevated WBC count.
18. To minimize the risk of postoperative complications after discharge, patients should be encouraged to
a. move and walk as much as tolerated.
b. continue on a clear liquid diet.
c. elevate the head of bed.
d. gently clean the umbilicus with a cotton swab.
© 2013 by Lippincott Williams & Wilkins, Inc.