click below
click below
Normal Size Small Size show me how
Kinn's Chapter 57
Surgical Asepsis and Assisting With Medical Procedures
| Question | Answer |
|---|---|
| 1) Any movement around the sterile field can cause _______________. | Contamination |
| 2) If the infection is serious enough, the patient may not ____________. | survive. |
| 3) ___________ allows microorganisms to transfer through the surface of the underlying nonsterile area. | Moisture |
| 4) Sterile team members must always maintain a ___________ of the sterile field to prevent accidental contamination. | direct view. |
| 5) A tear in the wrapping material means that the pack is ______________. | contaminated |
| 6) Crossing over the sterile field with a nonsterile item causes _____________. | contamination |
| 7) _________________ must be completely open to permit steam to reach all surfaces. | All instruments |
| 8) If the grasping end is inserted last, the handles of the instrument can be grasped when the envelope is _______________. | peeled off |
| 9) Any procedure that involves entry through the skin must be a _________________. | sterile procedure |
| 10) Because the steam does not have to pass through wrapping material, unwrapped items are _________________ more quickly. | sterilized |
| 11) ____________ may occur on instruments if they are cold when placed in a hot autoclave. | Condensation |
| 12) A change in the autoclave tape dye simply indicates that the package has been ________________ under pressure on the surface of the pack. | exposed to steam |
| 13) Chemical sterilization requires immersion for ________________. | 10 hours |
| 14) All individuals in the room during a laser procedure must wear ______________ to prevent damage to the eyes. | eye protection |
| 15) To comply with OSHA guidelines, the medical assistance must wear gloves when _______________. | cleaning up after a surgical procedure |
| 16) First-intention healing occurs from a _______________________; this is second - intention healing. | clean surgical incision |
| 17) Pus information indicates an _____________, which will interfere with the healing process. | infection |
| 18) A bandage covers a _______________; it is not applied directly over the wound. | sterile dressing |
| 19) The autoclave disinfects by ________________ the objects, destroying microorganisms. | heating, steaming, and wetting |
| 20) _____________________ must be used when any body tissue is entered. | Surgical asepsis |
| 21) The recommended temperatures for sterilization in an autoclave is _____________________. | 121* to 123*C (250* to 255*F) |
| 22) _________________should be followed when unloading an autoclave. | All these guidelines |
| 23) _________________ should be stored longer than 28 days unless sterile envelopes are used. | Sterile packs |
| 24) _________________ must obtain the patient's informed consent. | The physician |
| 25) Infection is caused by the ________________________. | proliferation of pathogens |
| 26) __________________ are so small they must be viewed through a microscope. | Microorganisms |
| 27) __________________ are microbes that cause disease. | Pathogens |
| 28) A _________________ is one substances can pass through | permeable material |
| 29) ________________ is the presence of pus-forming pathogens in the blood. | Pyemia |
| 30) _______________ is a dormant form of bacteria that is very resistant to disinfection methods. | A spore |
| 31) ______________ develops rapidly. | an acute infection |
| 32) ______________ is the destruction of microbes after they leave the body. | Medical asepsis |
| 33) ____________________________ placed in the center of a large pack are the best indicators of proper sterilization in an autoclave. | Sterilization indicator strips |
| 34) ___________________, a high-frequency current is used to cut through tissue and seal blood vessels. | In electrocautery |
| 35) Very low temperatures are used in _______________ to destroy tissue by freezing it on contact. | cryosurgery |
| 36) A _______________ is infected with pathogens. | septic wound |
| 37) In the ______________ of wound healing, ____________ is deposited at the site and clotting begins. | lag phase; fibrin |
| 38) In the ____________________ of wound healing, ____________ closes the gap between tissues and scar tissue forms. | final or remodeling phase; collagen |
| 39) ______________ is a sterile covering that is placed directly over a wound. | A dressing |
| 40)___________________ is a wound that appears jagged and irregular and is usually caused by trauma. | A laceration |
| 41) An ______________ is a chemical substance used during skin preparation for surgery that kills or reduces the number of microorganisms on the skin. | Antiseptic |
| 42) A wound usually caused by an accident that results in tearing or separation of tissues is called an __________________. | Avulsion |
| 43) ________________ is an example of an abrasion. | A brush burn |
| 44) A _____________ occurs when a nonpenetrating wound damages blood vessels. | Contusion |
| 45) ___________ can result if a bandage is applied too tightly. | Edema |
| 46) ______________________, a wound heals by ______________ from the bottom of the wound outward. | With second-intention healing; granulation |
| 47) The three basic autoclave cycles are: _______________________ _______________________ _______________________ | ~ Gravity (fast exhaust) cycle ~ Liquid (slow exhaust) cycle ~Prevacuum cycle |
| ~ Gravity (fast exhaust) cycle | used to sterilize item such as stainless steal instruments and glassware. |
| ~ Liquid (slow exhaust) cycle | used to prevent sterilized liquids from boiling. Steam is exhausted slowly at the end of the cycle, allowing liquids to cool. |
| ~ Prevacuum cycle | used for porous materials. The chamber is partly evacuated before steam is introduced to allow greater steam penetration. |
| 51) Sanitization | is the cleaning of instruments and the environment to reduce the number of pathogenic microorganisms. |
| 52) Disinfection | is the destruction of pathogens by physical or chemical means. |
| 53) Sterilization | is the destruction of all microorganisms, typically with the use of an autoclave. |