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PPD test review
Positioning,Prepping and Draping test review
| Question | Answer |
|---|---|
| used to achieve any desired postion thru manual/electrical controls; accepts attachments | operating room table |
| holds drapes off pt's face and separates nonsterile area from sterile field | anesthesia screen |
| used as an arm restraint and used to support/lift the body during transfer to a stretcher | drawsheet |
| used to secure the pt during all induction and most positions except lithotomy | safety beld(knee strap) |
| used for additional immobilization/support | all of the above |
| raise and support the legs in lithotomy position | stirrups |
| used to support the arm when giving IV's | armboard |
| used to stabilize the body in lateral kidney positions | padded body and kidney rest |
| used for neurosurgical/some otorhinology procedures | sitting |
| used for thoracic procedures when a lateral approach is desired by surgeon | lateral chest |
| used for rectal procedures | Kraske |
| used for lower abdominal/pelvic procedures when surgeon want abdominal contents to be separated from pelvic contents | Trendelenburg |
| used for procedures on the posterior surface of the body | prone |
| used for vaginal,perineal and rectal procedures | lithotomy |
| who decides on the position to be used | surgeon |
| who is primarily responsible for positioning the pt | circulator |
| pillows/other padding are used in strategic places to prevent pressureon nerves and | blood vessels |
| pt's who are anesthetized must be positioned | slowly |
| avoid excessive pressure on this to avoid respiratory issues. | chest |
| pt's legs must not be crossed due impairment of what | circulation |
| extreme/embrassing positioning should be done when | after pt is anesthetized |
| purpose of draping | all of the above |
| are flammable; therefore must not be used | alcohols |
| develops a cumulative action after a period of frequent use; neutralized by alcohol | hexachlorophene |
| radial,median or ulnar nerve damage can occur if what is not supported | elbow |
| extreme positions of the head/arm can cause injury to | brachial plexus |
| to avoid hyperextension of the arm, move it no more than | 90 degrees |
| movement of joints must be gentle and must be moved | within their limited range |
| types of draping material | all of the above |
| sterile technique is used thru out the entire draping procedure | true |
| excessive handling of the drapes should be avoided | true |
| circulator should observe for breaks in technique during draping | true |
| the anesthesiologist usally places the towels/clips to outline incision site | false |
| skin prep should be carried out for at least 5 min | true |
| when pt is in lithotomy position the butt/chest should be even w/table edge | true |
| what or table attachment is used in trendelenburg position | shoulder braces |
| position on table for kidney | lateral on uninvolved side |
| another name for jackknife position | kraske |
| good positioning | allows maximum safety and comfort to pt |
| which prep solution can cause breakdown of mucous membranes | alchol |
| what surgical procedure has a prep time of longer than 5 min | ortho/cardio |
| how far is a drape/gown folded back to expose the incision site | 1 inch |
| what is the major cause of foot drop | damage to perineal nerve caused by not enough support |
| stirrups misplaced/bad padding damages what nerve | perioneal |
| legs in lateral | lower leg is flexed, upper leg is straight w/large pillow under them |
| pt is on back face up | supine |
| why would the surgeon want painting instead of scrubbing on a cancer site | can spread cancer cells |
| when prep agent is effective from neg to pos | betadine |