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St 110 ch 10 12
| Question | Answer |
|---|---|
| which term describes the condition of a surgical technologists skin following skin prep? | surgically clean |
| what is the proper way to open a small, sterilely wrapped item for delivery to the sterile field? | first flap is pulled and opened away from self and tucked into palm, side flaps are pulled and tucked into palm, and last flap is pulled toward self secured before tossing item into field |
| which gloving method should be performed by the surgical technologist after donning a sterile gown and before setting up the back table | closed gloving |
| what is the term used for the area beneath the fingernails that is cleaned with a pick during the surgical scrub | subungual |
| up to what area of the arms does a surgical technologist scrub? | 2 in above the elbows |
| in preparing a patient for surgery, which of the following should be removed to facilitate oxygen blood level assessment? | nail polish |
| during the process of setting up the sterile field, efficiency and economy of motion recommend that the surgical technologist | move items only once if possible |
| which of the following is NOT an example of blunt dissection of tissue | endo shears are used through laparoscopic trocar to separate tissue |
| which method of gloving is appropriate of a urinary catheter as part of the skin prep? | open gloving |
| what is the appropriate method for delivering a sterile item to the back table from a peel package | open package laterally and completely; gently toss item without touching glued edge or going over back table |
| what should the surgical technologist do with his or her gown and gloves in preparation for donning after scrubbing? | open gown wrapper on unsterile mayo stand, and open and toss gloves onto gown |
| which of the following are NOT considered countable items for potential of retained foreign objects | dressings |
| best practice system that all of the following items remain sterile until the patient leaves the room EXCEPT the: | surgical drapes |
| what does the circulating nurse verify before the surgical technologist places the basket of instruments on the back table? | the filters on the bottom of the container are intact and the container is dry |
| if a pack of sponges is found to have an incorrect number during the count process and the patient is on the OR table, what should be done | hand off the pack to the circulator who will bag, label as incorrect, and isolate off field until case completion |
| which component of personal protective equipment PPE, has shown the ability to decrease disease transmission from the needle punctures? | double gloving |
| with what amount and which fluid is a 16 Fr., two-way Foley catheter with 5 cc balloon filled? | 10 mL of sterile water |
| what is the term for the normal resident microbial populations found on human skin? | flora |
| before opening any supplies for delivery to the sterile field, what must be verified? | packing integrity being intact and not violated |
| the 3 lumens of a three-way Foley catheter are used for balloon inflation, urinary drainage, and: | continuous irrigation |
| which type of instruments often has a tungsten carbide insert and crosshatch serrations for stabilization | needle holder |
| which fine, pointed-tip scapel blade could be used to incise a blood vessel or create a stab wound for drain placement? | #11 |
| the thin, compressed sponges used during neurosurgical procedures to protect delicate neutral structures are called | cottonoids |
| often called a "tonsil" or "oral" suction | yankauer |
| what is the term for the opening in a surgical drape that is placed over the operative site? | fenestration |
| which type of instrument alloy is lightweight, durable and non-magnetizing | titanium |
| a drain dressing is cut into which letter shape to accommodate the drain tube exiting the patients body? | Y |
| into which classification of dressings would body and minerva jackets and walking and spica casts fall? | rigid |
| urinary drainage catheter requires an incision and anchoring to the skin to prevent dislodgement | suprapubic |
| technical name for a clamp | hemostat |
| which type of surgical drape is designed to expose small anatomical structures such as the eyes and ears? | aperture drapes |
| which part of the operating microscope is most proximal to the target tissue? | objective lens |
| "suture scissors" blunt tipped | mayo |
| normal saline, antibiotic, and Dakins solution are used to facilitate mechanical debridement in which type of dressing? | wet to dry |
| how are ray-tec sponges used during laparotomy procedures when the peritoneum is open? | they should be mounted on a ring forceps as "sponge sticks" |
| they should be mounted on a ring forceps as "sponge sticks" | Ray tech |
| which suction tip is designed with multiple rows of perforations to prevent occlusion by the intestines in a laparotomy? | poole |
| the #12 blade is used almost exclusively for which surgical procedure? ` | tonsillectomy |
| which scalpel handle would accommodate a #20 disposable knife blade? | #4 |
| which type of syringe has no calibrations | bulb/ear |
| what do broviac and hickman catheters do? | monitor central venous pressure changes |
| which device can be used sterilely by an ENT or neurosurgeon or unsterilely by an anesthesia provider to determine location, function or conduction of certain anatomical structures? | nerve stimulator |
| what is the minimum number of the suction systems or units required in an operating room? | two |
| what is the term for the cut-in lines in the jaws or hemostatic clamps and tissue forceps? | serrations |
| all of the following are varieties of draping materials EXCEPT: | latex sheeting |
| a patient with a major abdominal wound requiring frequent dressing changes might have which type of binding layer to prevent excoriation of the skin by constant removal of adhesive tape? | montgomery straps |
| which classification of instruments can be of a tweezer-like or ringed and ratcheted configuration? | grasping and holding |
| by what action does a "cigarette" drain remove fluid from a wound? | wicking |
| during laparoscopic procedures where carbon dioxide gas is used for insufflation, the intraabdominal pressure in the average healthy adult patient is kept at: | 12-15 mm Hg |
| in general, after what length of continuous pneumatic tourniquet use should the extremity be allowed to reperfuse before reinflating the tourniquet? | 1hr |
| which of the following drains works by passive action | penrose |
| which of the following types of surgical sponges are prepackaged in units of five? | dissectors |
| which devices is used unsterilely in surgery for deep vein thrombosis DVT prophylaxis? | sequential compression device |
| which type of endoscope would be appropriate for examination of the renal pelvis via a natural body orifice? | flexible ureteroscope |
| what is the term for the thread or tape sewn into a countable sponge that makes it visible on x-rays to prevent a retained item? | radiopaque |
| op-site, collodion, adhesive gels, and steri-strips are examples of which type of surgical dressing? | one layer |
| what is the name of the paired parts of a hemostat that span between the box lock and the finger rings? | shanks |
| which type of surgical supply does NOT come with an option for being impregnated with iodine or other antimicrobial agent? | radiopaque surgical sponges |
| what term describes an instrument, such as a retractor or uterine probe, that can be bent or modified to accommodate for variances in anatomy? | malleable |
| all of the following are examples of types of movement of powered surgical instruments EXCEPT | operating |
| which of the following catheters is used to drain the kidney and is places with the aid of a cystoscope? | uretral |
| which type of surgical device provides a bloodless surgical field by the way of extremity compression? | pneumatic tourniquet |
| bougie, heaney, hegar, and ven buren are types of | dilators |
| kerlix fluffs, ABD pads, and plain 4 x 4 gauze sponges are examples of which part of a three-layer dressing? | absorbent intermediate layer |
| types of movement of powered surgical instruments | oscilaating, reciprocating, rotart |
| specialty rooms equiped w/3-4 operating lights | open heart surgery geometric shape acheived by placement of first layer of sterile surgical drapes |
| Removes fluid from a wound with wicking action | Cigarete drain |
| Bougie Heaney Hegar Van Buren | Dilators |
| Name of paired parts of a hemostat that span between the box lock and finger rings | Shanks |
| Sources of power for surgical powered equipment | Nitrogen, direct current, alternating current |
| Geometric shape acheived by placement of first layer of sterile surgical drapes | Square |
| Kerlix fluffs ABD pads 4x4 gauze sponges | Absorbent intermediate layer dressing |
| easily removable straps that stay in place to facilitate dressing removal | Montgomery straps |
| What type of sterile gown uses battery powered ventilation for the wearer? | Disposable fluid resistant |
| Why must chest tubes be attached to a water-seal drainage system? | To keep air from reentering thoracic space to reestablish negative pressure for respiration |
| After what length of continuous pneumatic tourniquet use should the extremity be allowed repercussions before insufflating the tourniquet? | 1hr |
| Minimum number of suction systems required for OR | 2 |
| Intraabdominal pressure during insufflation for a healthy adult is kept at | 12-15 mm Hg |
| Does not require attachment to OR table | Balfour retractor |
| Monitor central venous pressure changes | Broviac and Hickman catheters |
| Surgical supplies that come with option to be impregnanted with oidije or other antimicrobial agent | Gauze packing strips, incise drapes, occlusive contact dressings |
| Choice of dressing dependent on: | Location of incision/wound Type/amount of drainage expected Condition of wound upon closure |
| Varieties of draping materials | Aluminum coated, plastic adhesive, polyester bonded with cellulose |
| syringes can be made of plastic, glass, metal, rubber, or a combination of any of these. T/F | True |
| Instruments should be handed to the surgeon in a functional manner that allows the surgeon to use it without repositioning. T/F | True |
| The joint of a hemostat where one half of the instrument passes through the other is called the: | Box lock |
| What is the name of the paired parts of a hemostat that span between the box lock and the finger rings? | Ratchets |
| Metzenbaum, tenotomy, and Potts-Smith are examples of which type of instrument? | Scissors |
| Which of the following is NOT a source of power for surgical powered instruments? | Solar |
| Which of the following types of surgical sponges are prepackaged in units of five? | Laparotomy |
| A patient with a major abdominal wound requiring frequent dressing changes might have which type of binding layer to prevent excoriation of the skin by constant removal of adhesive tape? | Montgomery straps |
| The choice of wound dressing is dependent upon all of the following EXCEPT: | ambulatory status of the patient post-op |
| Why must chest tubes be attached to a water-seal drainage system? | To keep air from reentering thoracic space to reestablish negative pressure for respiration |
| The ability to anticipate the needs of the surgeon is one of the most important skills for a surgical technologist to develop. | True |
| When turning the sterile gown, what is handed to the circulator that completes the gowning process? | Gown tab/card |
| Which of the following would NOT be an appropriate method of performing a surgical scrub/skin preparation? | medical hand wash |
| What is the name of the common disposable surgical gown style? | wraparound |
| What should the surgical technologist do with his or her gown and gloves in preparation for donning after scrubbing? | Open gown wrapper on unsterile Mayo stand, and open and toss gloves onto gown. |
| Type of cream used as a hair removal method that does not cause microabrasions |
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bettyxbx