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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| The patient has withdrawn the general consent prior to surgery.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 |