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57 notecards = 15 pages (4 cards per page)

Viewing:

st 2

front 1

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

back 1

a. lithotomy

front 2

Who is responsible for ensuring the patient is properly position?

a. scrub

b. circulator

c .surgeon

d .anesthesiologist

back 2

c .surgeon

front 3

____________ 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

back 3

c. Drainage collecting units

front 4

_____________ 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

back 4

a. Intravenous (IV) lines and fluid

front 5

When moving a patient the circulator controls the timing.

a. f

b. t

back 5

a. f

front 6

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

a. f

b. t

back 6

a. f

front 7

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

a. f

b. t

back 7

b. t

front 8

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

a. f

b. t

back 8

b. t

front 9

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

a. f

b. t

back 9

b. t

front 10

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

back 10

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

front 11

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

back 11

b. Fowler.

front 12

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

back 12

c. teamwork

front 13

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

a. pediatric

b. unresponsive

c. combative

d. trauma

back 13

a. pediatric

front 14

Choice of position is made by __________.

a .surgeon and anesthesiologist

b. surgeon and circulators.

c.circulator and anesthesiologists.

d. scrub and surgeon

back 14

a.surgeon and anesthesiologist

front 15

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

back 15

d. use proper body mechanics

front 16

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

a. prone

b. supine

c. lateral

d. lithotomy

back 16

a.prone

front 17

Moving the arms away from the body is called _______________.

a. hyperflexion

b. adduction

c. hyperextension

d. abduction

back 17

d. abduction

front 18

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

a. blood flow

b. muscle cramps

c. blood pooling

d. nerve damage

back 18

c. blood pooling

front 19

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

back 19

a .anesthesia care provider

front 20

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

back 20

d.shearing injury

front 21

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

back 21

b. jackknife or Kraske

front 22

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

back 22

d. reverse Trendelenburg

front 23

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

back 23

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

front 24

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

back 24

a. in a narrow stance

front 25

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

back 25

b. open the doors first and secure them open

front 26

Open Cholecystectomy

back 26

Supine

front 27

Thoracotomy

back 27

Lateral

front 28

Vaginal Hysterectomy

back 28

Lithotomy

front 29

Lumbar Laminectomy

back 29

Prone

front 30

Colonoscopy

back 30

Sim's

front 31

Blot dry with a sterile towel

a. Before skin prep

b. After skin prep

c. During skin prep

back 31

c. During skin prep

front 32

Administer anesthesia

a. Before skin prep

b. After skin prep.

c. During skin prep

back 32

a. Before skin prep

front 33

Place towels around surgical site

a. Before skin prep

b. After skin prep.

c. During skin prep

back 33

b. After skin prep.

front 34

Clip hair

a. Before skin prep

b. After skin prep.

c. During skin prep

back 34

a. Before skin prep

front 35

Wash off gross contamination

a. Before skin prep

b. After skin prep.

c. During skin prep

back 35

a. Before skin prep

front 36

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

a. Nosocomial infections

b. Residual activity

c. Contaminated areas

d. Chemical burns

back 36

d. Chemical burns

front 37

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

back 37

b. Drapes

front 38

____________ 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

back 38

b. Hair

front 39

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

back 39

b. surgical site infections (SSI)

front 40

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

back 40

c. Foley

front 41

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

back 41

a. radical mastectomy

front 42

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

back 42

c. with fresh sponges after the surrounding area is prepped

front 43

Catheterization of a female surgical patient requires the ______________ position.

a. supine

b. prone

c. lithotomy

d. knees slightly flexed

back 43

d. knees slightly flexed

front 44

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

back 44

a. covered with another impervious drape

front 45

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

back 45

c. antiseptics.

front 46

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

back 46

d. age, size, and gender

front 47

The most common prep solution for ophthalmic procedures is _______________.

a. chlorhexidine

b. dilute povidone-iodine

c. duraprep.

d. alcohol

back 47

b. dilute povidone-iodine

front 48

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

back 48

c. induction of general anesthesia and intubation

front 49

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

back 49

a. a wide sterile area.

front 50

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

back 50

c. head

front 51

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

back 51

a. infection.

front 52

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

back 52

b. do not shift or move it

front 53

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.

back 53

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

front 54

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

back 54

d. Incision site to periphery

front 55

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.

back 55

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

front 56

_______ is the body’s primary defense against infection.

a. Hair

b. Skin

c. Immune system

d. Hygiene

back 56

b. Skin

front 57

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

a. Arm hair

b. Pubic hair

c. Facial hair

d. Eyebrows

back 57

d.Eyebrows