st 2 Flashcards

Which of the following position would the head of the OR table be moved to the foot before the patient is placed on the table?

a. lithotomy

b.jackknife

c.Trendelenburgd.lateral

Who is responsible for ensuring the patient is properly position?

a. scrub

b. circulator

c .surgeon

d .anesthesiologist

____________ must be lower than the patient’s body at all times.

a. The head of the bed.

b. Bed rails

c. Drainage collecting units

d. The extension boot on an orthopedic table

_____________ must be higher than the patient’s body.

a. Intravenous (IV) lines and fluid

b. The room temperature.

c. Drainage bags

d. both B and C

When moving a patient the circulator controls the timing.

a. f

b. t

Chest rolls are used in the lateral position to facilitate respiration.

a. f

b. t

The patient is not positioned or moved until the anesthesiologist indicates that is okay to do so.

a. f

b. t

Anesthetized patients are moved slowly to allow the circulatory system to adjust.

a. f

b. t

Body parts are not to extend beyond the table edges, rest on metal parts, or unpadded surfaces.

a. f

b. t

A safety strap should be placed __________________ between the patient and the strap.

a. on top of a blanket or sheet with three finger’s space

b. directly on the patient’s skin with two finger’s space

c. directly on the patient’s skin with three finger’s space

d. on top of the blanket or sheet with four finger’s space

A sitting position used for cranial, facial and some reconstructive breast procedures is called the ________ position.

a. reverse Trendelenberg

b. Fowler.

c. Trendelenberg

d. semi-Fowler

An important element for the safety of the patient during positioning is ________. It is necessary to provide smooth, step-by-step coordination.

a .music

b. spur-of-the-moment decision making

c. teamwork

d. to always make the patient move herself or himself

Caregivers may accompany a(n) ________ patient to the surgical suite and stay through anesthesia induction.

a. pediatric

b. unresponsive

c. combative

d. trauma

Choice of position is made by __________.

a .surgeon and anesthesiologist

b. surgeon and circulators.

c.circulator and anesthesiologists.

d. scrub and surgeon

Injuries are reduced when health care providers ___________.

a. do not bend hips

b. use sudden, jerky movements.

c. lift using the muscles of their lower back

d .use proper body mechanics

Lying with the abdomen downward, the patient is in the ________ position.

a. prone

b. supine

c. lateral

d. lithotomy

Moving the arms away from the body is called _______________.

a. hyperflexion

b. adduction

c. hyperextension

d. abduction

Sequential compression devices are used on patients having surgery to prevent ________.

a. blood flow

b. muscle cramps

c. blood pooling

d. nerve damage

The surgical team may begin positioning the patient only after the ________ gives his or her permission.

a .anesthesia care provider

b. perioperative nurse

c. surgeon

d. surgical technologist

The use of a footboard for the patient in the reverse Trendelenburg position may prevent the patient from sliding downward, which can cause ______________.

a. vascular shift

b. compartmental syndrome

c. hypotension

d. shearing injury

The ________ position is a type of prone position in which the patient lies on his or her abdomen with the hips flexed into an inverted “V” position.

a. fowler

b. jackknife or Kraske

c. dorsal recumbent

d. prone

The ________ position, or foot-down position, is used when the surgeon requires unobstructed access to the upper abdominal cavity and lower esophagus.

a. semi-Fowler’s

b.Fowler's

c.Trendelenburg

d. reverse Trendelenburg

To assist the patient when falling, ______________________.

a. ease the patient to the floor while protecting his or her head

b. once the patient is on the floor, seek help

c. try to hold the patient up

d. keep your feet close together and knees straight

When moving a patient, keep feet _____________ to provide a wide base of support. a. in a narrow stance

b. well apart

c. close together

d. touching each other

When passing through manually operated doors while transporting a patient, ___________________.

a. shout for someone to help you

b. open the doors first and secure them open

c. always wait for someone to come through the door to help you

d.push the foot of the stretcher forward against the door to open it

Open Cholecystectomy

Thoracotomy

Vaginal Hysterectomy

Lumbar Laminectomy

Colonoscopy

Blot dry with a sterile towel

a. Before skin prep

b. After skin prep

c. During skin prep

Administer anesthesia

a. Before skin prep

b. After skin prep.

c. During skin prep

Place towels around surgical site

a. Before skin prep

b. After skin prep.

c. During skin prep

Clip hair

a. Before skin prep

b. After skin prep.

c. During skin prep

Wash off gross contamination

a. Before skin prep

b. After skin prep.

c. During skin prep

result(s) when preparation solutions are allowed to pool underneath the patient.

a. Nosocomial infections

b. Residual activity

c. Contaminated areas

d. Chemical burns

are folded in a specific way before sterilization so that they can be positioned over the operative site and unfolded in a way that prevents contamination.

a. Gowns

b. Drapes

c. All of the above

d. Prep

____________ is/are generally not removed from the surgical patient but will require a surgeon’s order if it needs to be done.

a. Medical alert bracelets

b. Hair

c. Body piercings

d. Makeup

A cause of ________ is the normal skin bacteria of the patient and the surgical team members being introduced into the incision.

a. chemical burns

b. surgical site infections (SSI)

c. desiccation

d. strike-through contamination

A ________ catheter is the most common catheter used during a surgical procedure for continuous drainage of the bladder.

a. straight

b. suprapubic

c. Foley

d. intravascular

A(n) ________ requires a preparation boundary that encompasses the neck, shoulder of the affected side, thorax to the operating table surface, and mid-pelvic region.a.radical mastectomy

b. shoulder procedure.

c. pelvic laparoscopy.

d. appendectomy

Any area that is highly colonized with microorganisms, such as a colostomy area, is prepped ________

a. according to the manufacturer’s instructions on the prep solution

b. from dirty area to clean area

c. with fresh sponges after the surrounding area is prepped.

d. according to the manufacturer’s instructions on the prep solution

Catheterization of a female surgical patient requires the ______________ position.

a. supine

b. prone

c. lithotomy

d. knees slightly flexed

If an area of the drape is suspected of being contaminated, the area may be ___________.

a. covered with another impervious drape.

b. ignored if 1/2inch away from incision site.

c. removed by a nonsterile person

d.removed by the sterile person

Only ________ are approved for use on skin and may be used for the surgical skin prep.

a. betadine solutions

b. disinfectants

c. antiseptics.

d. sterile solutions

Selection of the correct catheter is based on the patient’s __________.

a. age, size, and the type of procedure

b. age, mental development, and sexual preference

c. size, grade in school, and gender

d. age, size, and gender

The most common prep solution for ophthalmic procedures is _______________.

a. chlorhexidine

b. dilute povidone-iodine

c. duraprep.

d. alcohol

The patient is ready for skin prep and draping only after __________.

a. the surgeon inspects the patient’s surgical site skin

b. the “time out”

c. induction of general anesthesia and intubation

d. the circulator has finished the required surgical paperwork

The purpose of draping is to provide ______________ around the surgical site.

a. a wide sterile area.

b. warmth for the patient

c. exposure

d. a protective barrier

The ________ drape is used for procedures of the nose and throat. It protects the eyes during surgery and provides a sterile barrier over the head.

a. incise

b. lithotomy

c. head

d. extremity

Urinary catheterization is a sterile procedure. Contaminants introduced by catheterization increase the risk of _____________.

a. infection.

b. bladder distension

c.urinary retention.

d. mucosal abrasions

When draping the patient for surgery, once a towel or drape has been placed on the patient, ________________.

a. it may be moved once.

b. do not shift or move it

c. it must be secure

d. the skin prep is then performed

When prepping the abdomen for surgery, what should you do first?

a. Prep the incision site.

b. Begin at sides of body and work inward.

c. Clean the umbilicus with swabs, and then begin at the incision site.

d. Start at the nipple line and work downward.

When the skin is prepped correctly the area is antiseptically cleansed in what manner?

a. Bottom of incision line to top of incision line

b. Top of incision to bottom of incision line

c. Periphery to incision site

d. Incision site to periphery

Which of the following statements is true regarding the technique for placing a Foley catheter?

a. The insertion hand does not contact sterile supplies.

b. The assisting hand does not contact sterile supplies, including the catheter itself.

c. If the catheter is placed before the prep has been done, it is not done using aseptic technique.

d. Both hands must remain sterile for the procedure.

_______ is the body’s primary defense against infection.

a. Hair

b. Skin

c. Immune system

d. Hygiene

must never be shaved because of the failure to regrow or abnormal regrowth.

a. Arm hair

b. Pubic hair

c. Facial hair

d. Eyebrows