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| Section | Objectives |
|---|---|
| Topic 1: Surgical Nursing | - Preoperative and postoperative care - Sterile technique and instrumentation |
| Topic 2: Pharmacology | - Dosage calculations and administration - Drug classifications and uses |
| Topic 3: Diagnostic Imaging | - Radiography positioning and safety - Image processing and interpretation basics |
| Topic 4: Anesthesia | - Anesthetic protocols and equipment - Anesthetic monitoring |
| Topic 5: Dentistry | - Dental prophylaxis procedures - Oral anatomy and disease recognition |
| Topic 6: Emergency Medicine and Critical Care | - Shock management and CPR - Triage and stabilization |
| Topic 7: Animal Care and Nursing | - Nutrition and husbandry - Patient handling and restraint |
| Topic 8: Pain Management and Analgesia | - Pain assessment techniques - Analgesic drug use |
| Topic 9: Laboratory Procedures | - Hematology and clinical pathology - Urinalysis and microbiology |
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1074. Frage
A veterinary technician can monitor a pet for behavior and determine a behavior modification plan for that pet and the owner. For example, an owner brings a dog into the clinic. The dog has started to lick itself on the forepaw anytime someone pets it, including two of the three family members. The dog has already seen the veterinarian, and no medical reason for the behavior has been determined. Thus, you are doing a behavior consult with the owner. You want to study what occurs right before and after the animal does the licking behavior. Your goal will be to teach the pet a different response to the stimulus causing the licking that will not cause harm to the pet. You establish a retraining plan based on the Applied Behavior Analysis (ABC) model of behavior. You will develop desirable motivators and outcomes that give the pet an alternative behavioral response.
What does the A stand for in this model?
Antwort: A
Begründung:
In the ABC behavior model, the A refers to an antecedent or the stimulus preceding an unwanted behavior. These may be location-based, contextual, or sensory, such as tactile, visual, or auditory. It could be any given item in the environment that is predictive. An example would be the cat carrier coming out, and the cat runs because every time they see the carrier, they are shoved into it and taken to a place where they get poked and prodded.
The B refers to behavior. This is the actual behavioral response the pet gives. In this example, someone pets the dog, and the dog starts licking their forepaw.
The C refers to consequence, which is what happens to the dog directly after the event. What does the owner do every time the dog starts licking? Does the owner give it affection/attention/a treat to dissuade it from doing so?
An example of an ABC is:
*Antecedent: Food on the counter
*Behavior: Dog jumps up and looks at the food on the counter
*Consequence: Dog is directed away from the counter
Once we have established the ABCs, we can develop a plan to adapt the pet's behavior to a more appropriate response and learn why the pet acts that way.
1075. Frage
Your practice software permits text messaging. Your client service representatives send reminder messages about appointments via text. Surgery texts are sending text messages with patient updates. This lets the owners get updates before the veterinarian can talk with them. Updates can also be sent about hospitalized patients.
Regardless, you want to ensure that when using text messaging for communication, you do all of the following, except:
Antwort: C
Begründung:
Remember that any form of communication should be professional, documented in the client's record, accurate, and respectful of the client and the pet.
Text messages can lead to misinterpretation; thus, you want to be succinct and accurate. Make sure you are clear and concise and provide valid information. However, you never want to give bad news via text. Bad news, such as complications in surgery, decline in hospital patient status, or changes in bloodwork, should always be given on the phone or in person.
When using text messaging, do not use emoticons that are ambiguous or can be misread. Do not use acronyms unless you spell them out first.
Remember that text messages can be forwarded and shared with others and are not considered a private means of communication.
1076. Frage
A 40 lb dog presents in shock following a car accident. The doctor orders a 20 mL/kg bolus of IV fluids be given stat. You hang a 1L bag and start it running by open flow. The doctor orders a second 20 mL/kg bolus to follow.
What line should the fluid drop to when you stop the second bolus and check with the doctor for the next instructions on what to do?
Antwort: C
Begründung:
Convert the patient's weight from pounds to kilograms: 40 pounds / (2.2 pounds/kg) = 18.2 kg Calculate the volume of fluid in a 20 mL/kg bolus: 18.2 kg x (20 mL/kg) = 364 mL Calculate the amount given by two boluses: 364 mL for each bolus x 2 total boluses given = ~730 mL When hanging IV fluid bags, the number line marks indicate the amount already given, not the amount remaining in the bag. If 730 mL of fluid had been administered, the fluid line would be just below the 7 indicator line on a 1000 mL bag.
Mosby's Comprehensive Review for Veterinary Technicians 5th Edition. Pg 453-454.
1077. Frage
According to the physical status classifications published by the American Society of Anesthesiologists (ASA), which of the following conditions meets an ASA I classification?
Antwort: B
Begründung:
Castration is acceptable under an ASA I classification. Representative conditions for an ASA I physical status classification include elective procedures. An ASA I classification requires the patient to be overtly healthy, Obesity grants the patient an ASA II classification. It represents a patient with a low risk due to mild systemic disease.
A heart murmur is an ASA III classification, representing a patient at moderate risk due to potentially severe systemic disease.
Liver and kidney failure warrant an ASA IV classification. These patients are at high risk due to severe systemic, potentially life-threatening disease.
1078. Frage
Which of the following is a non-rebreathing circuit?
Antwort: B
Begründung:
With non-rebreathing systems, expired gases go into a scavenger rather than redelivering the gases to the patient. A Bain coaxial circuit is a type of non-rebreathing ventilation system. Other non-rebreathing circuits include the Ayre's T-piece, the Jackson-Rees, or the Norman elbow.
Ambu is a type of positive pressure manual ventilator bag. Both circles and Universal F-circuits (modified circles) are rebreathing systems.
1079. Frage
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