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Ch12 mid2
| Question | Answer |
|---|---|
| Radiation, convection, conduction, and evaporation are examples of | Mechanisms intraoperative heat loss |
| What is the common name of the common disposable surgical gown style? | Wraparound |
| Trendelenburg, reverse trendelenburg, Fowler’s, lithotomy are variations of which basic position? | Supine |
| Which of the following statements regarding hair removal is incorrect? | Hair must be shaved from every incisional and ECG site |
| When transporting a patient on a stretcher through the OR suite corridors, which method should be followed? | Push the stretcher with the patient facing feet first in the position most comfortable for the patient |
| What is the name of the device used to manually assess blood pressure? | Sphygmomanometer |
| When turning the sterile gown, what is handed to the circulator that completes the gowning process? | Gown tab or card |
| Which position would facilitate exposure of the operative area during a laparoscopic cholecystectomy? | Reverse trendelenburg w/ slight tilt of the left |
| What statement regarding instrument counts is correct? | They should be counted while still on back table |
| What is the comparison between a neonates and an adults normal pulse rate? | Neonates pulse is twice as fast as an adult |
| During the surgical skin prep, areas that are considered contaminated should: | Be scrubbed separately or last |
| For which position would the head of the OR table be moved to the foot before the patient is placed on the table? | Lithotomy |
| Which of the following techniques of counting sponges on the sterile field is example of best practice? | Remove paper bands around sponges; separate each sponge into separate piles while counting out loud with (circulator, RN) |
| Which position requires anesthesia administration and intubation to be performed on the patient’s stretcher prior to final positioning? | Prone |
| What is the term used when a surgical team member who is on standby must return to the facility to do a case | Called in |
| In preparing a patient for surgery, which of the following should be removed to facilitate oxygen blood level assessment? | Nail polish |
| Which of the following is Not an example of blunt dissection of tissue? | Endo shears are used through laparoscopic trocar to separate tissue |
| 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 describes the configuration of a Mayo stand cover? | Cylindrical |
| Which method of gloving is appropriate of a urinary catheter as part of the skin prep? | Open gloving |
| Which towel is placed first when squaring off the operative site? | Same side as person applying towels |
| Which of the following statements regarding transfer of an awake, mobile patient from stretcher to OR table is INCORRECT | The safety strap is secured tightly across patient’s waist to prevent possible fall due to narrow OR table |
| An assistant may be needed to properly perform which type of surgical skin prep | Circumferential extremity |
| What would be the likely result to positioning the patient’s arms on arm boards at a greater than 90 degree angle from the torso | Brachial plexus hypertension |
| 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 |
| Where is the safety belt or strap placed on a patient in a supine position on the OR table? | 2 inches proximal to the knee |
| The patient undergoing laparotomy should be prepped | From the incision site outward toward the periphery in a circular motion |
| Which of the following descriptions of how to pour liquids into a container on the sterile field is correct | Hold the bottle 12 inches above and with only the lip of the bottle over the basin |
| What is the purpose of a radio-frequency tracking system in the operating room? | Reduce possibility of retained foreign objects |
| 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 |
| which of the following would NOT be an appropriate method of performing a surgical scrub/skin preparation? | Medical hand wash |
| 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 |
| Which member of the of the surgical team gives permission for the patient to be positioned or transferred? | CRNA (anesthesia) (certified registered nurse anesthetist) |
| How many individuals are required to safely transfer a recently anesthetized patient from the OR table to the stretcher? | 4 |
| The sitting position is a modification of which position | Fowlers |
| 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 the field until case completion |
| Which table attachment is required to safely maintain a patient in the reverse trendelenburg position | Padded footboard |
| Which two members of the surgical team are responsible for performing the counts to prevent retained items? | Circulator and surgical technologist |
| The main purpose of the surgical skin prep is to: | Reduce the microbial count on the skin to an irreducible amount |
| 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 French, two-way Foley catheter with 5cc balloon filled? | 10 ml of sterile water |
| What is the temporary position for a female patient for a placement of urinary catheter prior to abdominal hysterectomy? | Frog- legged |
| 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 |
| Which of the following statements about lateral kidney positioning is INCORRECT? | The lower leg is straight and the upper leg is flexed, with a pillow under the lower leg |
| Which position is routinely used for flexible colonoscopy procedures and may be performed on the patient’s stretcher? | Sims |
| T/F : Hair is to be removed as much as possible from site? Why | False, if the patient even gets a tiny cut around the site it increases the SSI risk |
| The legs of a patient being placed in the lithotomy position should be raised and lowered slowly and stimulaneously. T/F | True |
| Which of the following statements regarding hair removal is INCORRECT? | Hair must be shaved from every incisional and ECG lead site. |
| The proper sequence for performing intraoperative and closing counts is operative site, mayo stand, back table, basins, kick bucket, or off field. T/F | True |
| Suction tubing and ESU cords are attached to the sterile drape with perforating towel clips to prevent contamination. T/F | True |
| Referring to the apex of the heart; used as a method of reading a pulse rate | -Apical |
| Type of cream used as a hair removal method that does not cause micro abrasions. | Depilatory |
| The position in which an individual is lying on his or her side; also called decubitus | Lateral recumbent |
| Trendelenburg position gives access to what body regions? | -pelvis -lower abdomen |
| Reverse trendelenburg gives access to which body region? | - upper abdomen - head and neck |
| Lithotomy position gives access to which body region? | -perineum - anus and rectum - vagina - urethra |
| Fowler’s position gives access to : | -breast - head and neck - shoulder |
| Lateral positions gives access to: | - retroperitoneal space - hip - hemithorax |
| Kidney position gives access to: | Retroperitoneal space |
| Sims position gives access to: | Anis |
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