ESIC Nursing Officer-7July 2024
Medical Surgical Nursing
Easy
All of the following are the potential circulatory problems after surgery EXCEPT
Appeared in: ESIC Nursing Officer-7July 2024
Explanation
- Tympanites, also known as abdominal distention, is the accumulation of gas in the intestines.
- It is a gastrointestinal complication, not a circulatory one.
- This condition commonly occurs after surgery due to slowed bowel motility (paralytic ileus) caused by anesthesia and handling of the intestines.
- Symptoms include a swollen abdomen, a feeling of fullness, and gas pains.
Why Other Options Were Wrong
- Option A: Thrombophlebitis is a primary circulatory problem. It involves inflammation and clot formation within a vein, directly affecting blood flow.
- Option B: An embolus is a classic and severe circulatory complication. It is a piece of a thrombus that travels through the bloodstream, posing a risk of blockage in vital organs.
- Option C: Hemorrhage is a critical circulatory problem defined as the loss of a large amount of blood. It directly compromises circulatory volume and tissue perfusion.
Related Visual
- Visual 1: Diagram illustrating the difference between a thrombus (stationary clot) and an embolus (traveling clot).
- Visual 2: Illustration showing signs of Deep Vein Thrombosis (DVT)/Thrombophlebitis in the lower leg, such as swelling and redness.
- Visual 3: Image depicting a patient with a distended abdomen to represent tympanites.
- Visual 4: Flowchart categorizing common postoperative complications by body system (Circulatory, Respiratory, Gastrointestinal, etc.).
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Differentiation between postoperative circulatory and gastrointestinal complications as background academic context rather than a clinical decision trigger.
- A nurse's ability to differentiate between types of postoperative complications is crucial for early detection and intervention. Misinterpreting a GI symptom for a circulatory one, or vice versa, can delay appropriate care.
- Nursing interventions for preventing circulatory complications include early ambulation, leg exercises, and application of sequential compression devices (SCDs).
- Nursing interventions for managing tympanites include encouraging ambulation to stimulate peristalsis, assessing bowel sounds, and managing diet as prescribed.
How to Approach the Question
- First, identify the keyword 'EXCEPT' in the question. This tells you that three of the options are correct examples of the category mentioned (circulatory problems), and one is the outlier.
- Read the stem carefully to understand the category: 'potential circulatory problems after surgery'.
- Evaluate each option and classify it by the body system it primarily affects.
- Option A, Thrombophlebitis: Affects veins and blood clots (Circulatory).
- Option B, Embolus: A traveling blood clot (Circulatory).
- Option C, Hemorrhage: Loss of blood (Circulatory).
Concept Tested & Keywords
- Concept Tested: Differentiation between postoperative circulatory and gastrointestinal complications.
- Stem keywords: post-surgery, circulatory problems, potential
- Lead-in keywords: EXCEPT
- Negative lead-in flag: EXCEPT
Question ID
QD_EBDYIIMQVEY-Iz8kcaJ
Practise the full ESIC Nursing Officer-7July 2024
Attempt every question from this paper in a timed mock, then review the full solution for each one.
More Perioperative Concepts and Nursing Management Questions
- The nurse is informed that a client with a large surgical incision is being transferred from the intensive care unit to the surgical unit. What medic…
- Why it is necessary to remove dark coloured nail paint before surgery?
- Vicryl 3-0 is:
- Following is the picture of sterile sponge used in emergency. It has a blue colour thread. What is the purpose of this colour thread?
- Identify the following instrument:
- Identify the blade used:
- Identify the instrument used by a nurse in the following image:
- In operation theater during cauterization, the electric current passing from a single electrode is called:
- In suture holding position, the tip of the needle should penetrate the skin perpendicularly about \ \ \ \ \ \ \ \ \ \ \ from the wound edge.
- Spinal tap is also known as:
More ESIC Nursing Officer-7July 2024 Questions
- Which one of the following hormones is secreted by neurohypophysis that causes uterine contractions?
- Which of the following conditions can cause Steatorrhea? 1. Pancreatic enzyme insufficiency 2. Diseases affecting small intestines 3. Bile acid defic…
- All of the following are theories of motivation EXCEPT
- The highest level of growth needs as per Maslow's hierarchy of needs theory is
- An IQ score of 90 is classified as
- According to Sigmund Freud's theory of Psychoanalysis, all of the following are structures of personality EXCEPT
- The conflict that occurs due to having to choose between two positive goals which are equally attractive at the same time is called
- The type of family in which father has highest status in family who controls the social life of family is called
- Which of the following are ways of Acculturation? 1. Trade and commerce 2. Industrialization 3. Education 4. Conquest
- Which of the following are essential amino acids? 1. Leucine 2. Tryptophan 3. Methionine 4. Cystine 5. Histidine