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CST3
pg.127-152
Question | Answer |
---|---|
Of the levels of Maslow's Hierarchy of needs, which is most applicable to the surgical patient? | physiological |
A major concern when treating geriatric patients requiring additional emotional support by the surgical team is? | depression |
When performing the preoperative shave, nicks and cuts are considered a clean wound ____min. | 30 min |
How many times is the patient identification confirmed before transporting from the ward room to the surgery dept. | 5 |
When transporting a patient to OR. What direction should the gurney be situated? | feet first |
When trasporting a patient to the OR, where should the safety straps be placed? | over the thighs |
How should the patient be transported when using an elevator? | enter head first, exit feet first |
The patient has withdrawn the general consent prior to surgery. What action should be taken? | do not transport patient;inform surgeon |
The ultimate responsibility of obtainin the general consent belongs to? | surgeon |
A patient signs a consent for surgery but does not speak english and does not fully understand what they signed. This constitutes liability case for? | assault and battery |
A general consent form is to? | authorize all routine treatments or procedures |
When using an armboard on the OR table, the most important measure is? | avoid hyperextention of the arm |
Which procedure would be performed with the patient in the lateral position? | nephrectomy |
The surgical position frequently used for patients undergoing kidney surgery is? | lateral |
When perorming the skin prep, the skin should be scrubbed and painted from the? | incision site to periphery using circular motion |
The position most commonly used for mitral valve replacement is? | supine |
The position most commonly used for tonsillectomy performed under local anesthesia is? | fowler's |
What position is commonly used for neurosurgical and some otorhinologic procedures? | fowler's |
An anesthetized patient is moved slowly to prevent? | cardiovascular complications |
When performing an abdominal prep the umbilicus is? | prepped last or separately; it's considered contaminated |
In the lateral chest position, a sand bag or padding is placed under the chest at axillary level to? | prevent pressure on lower arm |
In the prone position the thorax must be elevated from the OR table to prevent? | respiratory complication |
Ulnar nerve damage could result from? | use of unpadded armboard |
Stirrups that are not padded or improperly placed on the OR table can caue pressure on the? | peroneal nerve |
If patient is in supine postion, the circulator must always? | make sure ankles and legs are not crossed |
What is not a requirement for the Kraske position? | arms are tucked at eh sides of the patient |
When moving a patient from the lithotomy position legs should be? | lowered together |
What is not required when a patient is placed in the prone position? | safety belt placed below the knee |
The femoral nerve can be damaged if? | retractors are improperly placed during pelvic surgery |
To avoid foot drop what should be done? | padd heels to prevent pressure from OR table |
The best surgical position for visualization of the lower abdomen of pelvis is: | trendelenburg |
The surgical position commonly used for thyroid and gallbladder surgery is? | reverse trendelenburg |
In the prone position which nerve could be compressed against the humerus? | radial nerve |
When positioning an anesthetized patient supporting the head and neck is the responsibility of the? | surgeon |
When moving a patient with an unsplinted fracture protecting the fracture is the responsibility of the? | surgeon |
Which procedure is performed with the patient in the trendelenburg position? | hysterectomy |
A reverse trendelenburg position requires the added table attachment of a? | footboard |
A small pad placed under a patients head in the supine position allows which muscle to relax? | strap muscle |
Wha position is used for a cesarean section? | supine with bolster under left side |
What device is used when placing a patient in the operative position for a thyroidectomy? | shoulder roll |
What nerve could be damaged when the patient is placed in fowler's position? | sciatic |
What size of foley catheter is communly used for adults? | 14 fr or 16fr |
Which agents is commonly used when performing a patient skin prep of the eye? | triclosan |
What area should be prepped last when performing a patient skin prep? | stoma |
What is the name of the instrument part located between the box lock and finger rings? | shank |
What is a self retaining retractor? | Gelpi |
A retractor not found in a major orthopedic instrument set? | ragnell (for hand cases) |
What type of instrument is a Lowman? | bone holding clamp |
A Joseph elevator is used in? | rhinologic procedures |
An Allen clamp is used for? | gastrointestinal procedures |
Which suturing forceps are commonly used during ophthalmic procedures? | bishop-harmon |
Which instrument would be found in a gastrointestinal set up? | doyen forceps |