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ch 11
| Question | Answer |
|---|---|
| which of the following types of vessel loops are not available for use? | green color for bile ducts |
| abnormal connection between two epithelial surfaces, open on both ends? | fistula |
| abnormal tract between two epithelial surfaces, open at one end only | sinus |
| a cicatrix is a scar | true |
| biological material for tissue repair, made from porcine submucosa leaves a collagen matrix | in growth mesh |
| the tensile strength of suture material should = tensile strength of the tissue | true |
| which suture is most inert? | stainless steal |
| what is the chemical name for "derma bond" or "indermil" | cyanoacrylate |
| heat can be loss through radiation, conduction, convection, evaporation | true |
| which of the following sutures would be contraindicated in a chronic infected wound if immunosuppressed patient | plain gut |
| Where is the safety belt or strap placed on a patient in supine position on the OR table? | 2 in proximal to the knees |
| For which position would the head of the OR table be moved to the foot before the patient is placed on the table? | lithotomy |
| when transporting a patient on a stretcher through the OR suite, which method should be followed | push stretcher with patient feet first in a comfortable position |
| What kind of wound is a sacral decubitus ulcer? | chronic |
| which nonsuture needle is used for insufflation of carbon dioxide into the abdomen for laparoscopy | verses needle |
| which type of suture is often used to create a vascular anastomosis | synthetic, nonabsorbable, monofilament with double armed taper needle |
| which internal stapling device fires a circular double row of staples to reanastomose the colon | intralumenial stapler |
| what is the name of the common disposable surgical style gown | wrap around |
| polypropylene is a synthetic. monofilament, non absorbable, and used frequently in cardiovascular | true |
| which type of suture needle is used on friable tissue such as liver or kidney | blunt |
| Ethicon sutures may be available with a designation of "plus" for some sutures, which means they: | are impregnated with an antibacterial coating |
| which suture is MOST inert in tissue | stainless steel |
| what is the primary reason bolsters are used with retention sutures | prevent suture from cutting into the skin |
| what would be the type of suture placed temporarily in tongue to hold it out of the way in a maxillofacial | traction |
| which position would facilitate exposure of the operative area during s laparoscopic cholecystectomy | reverse trendelenburg with slight tilt to the left |
| which tissue layer of the abdominal wall provides the greatest strength, support of the wound | fascia |
| eviseration is | the separation of wound layers with the protrusion of abdominal organs through the layers |
| what is the term for tissue that is easily torn or shredded | friable |
| what is tachypenia | rapid breathing |
| where is the perineu | between the urethra and the anus |
| The suturing technique MOST appropriate for wounds likely to become infected or suffer potential stress is: | interrupted |
| to achieve the goal of leaving as little foreign material in a wound the ideal suture selected should have | high-tensile strength and small diameter |
| the capillarity of suture material refers to which fo the following | ability of fluid to wick along the suture |
| the patient undergoing laparotomy should be prepped | the patient undergoing laparotomy should be prepped |
| what is the proper way to open a small, sterile wrapped item for delivery to the sterile field | first flap away from self, side flaps pulled, last flap pulled towards self |
| endoshears are also knows as endoscissors | true |
| which of these is NOT an advantage of simple interrupted sutures | airtight and fluid tight toss |
| Torsion | act of twisting |
| impervious means | admitting no entrance |
| Apical | pertaining to the apex |
| what is the neutral zone | "no pass" "no touch" technique used for placement of sharps |
| Auscultation | Listening with a stethoscope |
| a chemical depilatory dissolves hair at the skin level | true |
| the term perfusion is defined as | adequate circulation of blood to the body's cells |
| left lateral recumbent position | lying down on your left side against the X-ray table |
| Tissue trauma is minimized by using which type of suture-needle combination? | suture permanently swaged on an eyeless needle |
| a wound that is not sutured and that gradually fills in by granulation heals by which intention | second |
| ST can assist by keeping the suture strand out of the way during a continuous running closer is by | following |
| first intention healing of a wound | clean Surgical would brought together by sutures |
| What is third intention wound healing? | deep wound, late suturing, bring together 2 granulated areas |
| what is second intention wound healing | no approximate edges, granulated tissue, packed with NS DRSG |
| This is when the edges of a wound are brought together by primary intention. | approximation |
| which of the following is an example of a wound healing by secondary intention | an open burn area |
| Depridement | removal of dead tissue |
| which absorbable suture provides fro the MOST extended wound support | PDS plus |
| Which type of synthetic mesh is absorbable? | Polyglactin 910 |
| up to what area of the arms does a ST scrub | 2 inches above the elbow |
| what is the term that describes the measure of how much a suture strand can be stretched before breaking | tensile strength |
| What is inflammation? | a condition in which fluid accumulates within the virus |
| silk is a natural, multifilament suture classified as non absorbable but loses much of its tensile strength in a year | true |
| before opening any supplies for delivery to the sterile field, what must be verified | package integrity being intact and not violated |
| Ligatures are used to: | occlude the lumen of a blood vessel |
| the following interweaves its fibers during the maturation phase of wound healing and increase tensile strength | collagen |
| most common use fro vessel loops and umbilical tube is | retraction |
| green colored vessel loops are NOT available for use | true |
| which technique involves making a knot in the suture outside the body and then pushing it inside through a cannula | extracorporeal method |
| If a pack of sponges is found to have an incorrect number during the count, patient on the OR table what is done | hand off pack, circulator all bag and label as incorrect and isolate bag |
| which organization specifies diameter range for sutures | U.S Pharmacopeia (USP) |
| what is term used for the area beneath the fingernails that is cleaned with a pick during the surgical scrub | subungual |
| a keloid is | an excessive overgrowth of scar tissue |
| some multifilament suture are coated to | smooth passage through tissue |
| what is the term for type of suture that has the strand of suture material inserted into hollowed out needle end | swaged |
| which of the following surgical needles is a solid bore (not hollow) type of needle | Keith |
| Which towel is placed first when squaring off the operative site? | same side as person applying towels |
| what is the appropriate method for delivering a sterile item to the back table from a peel package | open laterally; gently toss item without touching gland edge |
| what is the temporary position fro a female patient for placement of urinary catheter prior to abdominal hysterectomy | frog-legged |
| Evisceration | protrusion of viscera throughout the wound |
| Sims position | side-lying position with knee flexed |
| which position is routinely used for flexible colonoscopy procedures | sims |
| what is the chemical name of Gore-Tex suture | Polytetrafluoroethylene |
| what is used to close the epidermal layer when a subcuticular wound closer has been done for good cosmesis | skin closer tapes |
| How will the surgeon manipulate skin edges of a wound before the surgical technologist places an approximating skin staple? | evert the edges outward |
| which type of suture ties has an attached needle | Suture ligature |
| which of the following statements is true regarding natural absorbable sutures | they are packaged wet |
| Primary union wound healing occurs: | side to side |
| which type of sterile gown uses battery-powered ventilation for the wearer | full coverage system |
| what are the stages of wound healing IN ORDER | hemostasis, inflammation, proliferation, maturation |
| Second phase of wound healing | proliferation |
| the proliferation phase of healing is characterized by | the development of new tissue |
| which of the following can interfere with normal wound healing | diabetes |
| forms on the surface of a wound during the healing process | granulation |
| which phase of healing for wounds closed by first intention begins within minutes of the incision or injury | inflammatory |
| which of the following techniques of counting sponges on the sterile field is an EX of best practice | remove paper bands, separate each sponge while counting aloud with RN |
| which needle has the cutting edge on the outside curvature of the needle body | reverse cutting needle |
| continuous suturing technique that places sutures in the endothelial layer of the skin in short, lateral throws called | subcuticular suture |
| process of breaking down synthetic polymer chains by water from tissues | hydrolysis |
| traumatic injury from friction causing scarping of epidermal layer | abrasion |
| Intentional cut through intact tissue for purposes of exposing underlying tissues | incision |
| Traumatic cut or tearing of skin or soft tissues | laceration |
| Biological material for tissue repair; made from porcine submucosa; leaves a collagen matrix | in grown mesh |
| contusion | bruise |
| Cappilarity | the phenomenon in which liquids in thin tubes rise above or fall beneath their own levels |
| suture techniques | lateral throws |
Created by:
ckenya