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A patient is having elective surgery. The nurse notes that her white cell count is 14,000 cu mm. This would indicate
There may be an inflammation or infection present.
Airborne contamination is reduced by recirculation of filtered outside air at a rate of
25 air exchanges per hour.
If a family is contacted but cannot come in to sign a permission for emergency surgery paper, the surgeon should
Accept permission by phone, telegram, or in written communication.
Dead space is the space
Caused by separation of wound edges that have not been closely approximated.
Injection of contrast media into the brachial, carotid, or vertebral artery to study the intracranial vessels is called
Suture material that becomes encapsulated with fibrous tissue during the healing process is
Which two anatomic structures are ligated and divided to effect a cholecystectomy?
Cystic duct, cystic artery
When the patient is being transfered from the OR table after surgery, the action should be
Gentle and slow in order to prevent circulatory depression.
An anti-inflammatory drug whose effect is useful in reversing early rejection of organ transplants is
A congenital abnormality of the musculature between the stomach and the duodenum is called
A procedure that is done to give the bowel a rest when there is advanced inflammation is
Heat-sensitive items that can be completely immersed can be processed via ____________ in 30 minutes.
Burn removal of tissue down to fascia where all superficial layers are denuded is called
A protrusion of fat through an abdominal wall defect between the xiphoid process and umbilicus is a(n)
Laminar air flow provides
Ultraclean air, Controlled filter, dilution, and distribution of air, and undirectional positive-pressure stream of air.
When preparing tubing or any item with a lumen for gas sterilization
The lumen should be blown out with air to force-dry before packaging.
How are the legs placed in the lateral position?
The lower leg is flexed with the upper leg straight.
When changing a glove during and operation
Open-glove technique is used or another team member assist in regloving.
Which is an acceptable means of pouring a sterile solution onto a sterile field?
Scrub nurse holds a receptacle away from the table as the circulator pours or the scrub nurse sets the receptacle near the edge of a waterproof-draped table
What advantage is phacoemulsification for cataract removal?
Shortened convalescence and it employs a small incision.
The structure that covers the entrance of the larynx when one swallows, thus preventing food from entering the airway (trachea) is called
Physiologic salt solution used intravenously when the body needs additional sodium, calcium, and potassium is
In the lateral chest position, a sandbag or padding is placed under the chest at axillary level to
Prevent pressure on the lower arm.
A viscous jelly used to occupy space, thus preventing damage, in anterior segment surgery of the eye is
The instrument used to measure the depth of uterus during a dilation and curettage is a
Before surgery, elastic bandages or special stockings are sometimes applied to the lower extremities to
Prevent venous stasis
In addition to providing bladder drainage following a suprapubic prostatectomy, a Foley catheter
Exerts pressure to obtain hemostasis.
Electrical connection of the patient to the conductive floor is assured by
a conductive strap in direct contact with the patient's skin, with one end of the strap fastened to the OR table metal frame.
Instruments used to close the vaginal vault in an abdominal hysterectomy must be
Considered contaminated after use.
The addition of adrenalin to a local ansethetic provides
Vasoconstriction, prolonged anesthesia, decreased bleeding
During laser surgery, which policy doesn't have to be adhered to
Prescription glasses are approved protection mechanisms.
A constant closed suction that utilizes a plastic container serving as both a suction and a receptacle for blood is a
Which stage of wound healing takes place when there is tissue loss with an inability to approximate wound edge?
For surgery on a known AIDS patient, all of the following precautions should be followed EXCEPT
Healthcare workers who are potentially exposed to blood, can be vaccinated to prevent____________.
hepatitis B virus (HBV)
An alternative indwelling urinary drainage system diverting urine away from the urethra is a ________.
suprapubic cystostomy catherization
A femoral-popliteal bypass is scheduled. Which self retaining retractor would be used to facilitate exploration of the femoral artery?
A double-bowl-shaped glass evacuator used to irrigate the bladder during transurethral surgery is called a(n)
An approach to infection control designed to prevent transmission of blood-borne diseases in health care settings is called ____________.
How many feet above the ground is considered safe for electrical outlets and fixtures that are not explosion proof?
A condition that can occur as a result of gross bone contamination or improper surgical technique is
Which of the following instruments would be used to retract the bladder walls during a suprapubic prostatectomy?
Which of the following pieces of hardware will be used in an intramedullary fixation of a fracture of an adult femoral shaft?
Continuous irrigation of the bladder is necessary during cystoscopy to
Distend the bladder walls for visualization
Which procedure would require the following instruments: freer elevator, osteotome, Asch forcep, Ballinger swivel knife, caliper?
Which of the following appliances can be used for intramedullary fixation of a femur; Smith-Peterson, Neufeld, Jewett or Sampson?
The prefered method of gloving is ______. In changing during a case, this method ______ be used.
When a patient goes into hypovolemic shock in the OR, an immediate response would be
Restore fluid volume quickly
In which surgical wound classification would an appendectomy for ruptured appendix fall?
The blue-green wavelength produced by a laser that is capable of treating retinal detachment, diabetic retinopathy, and macular neovascular lesion is
If the patient has a positive breast biopsy, and the surgeon proceeds to do a radical mastectomy
The patient is reprepped, and new drapes and instruments are used
Oxygenated blood is returned to the left atrium of the heart from the lungs via the______
When intraoperative cultures are obtained, which of the following is NOT true?
Tip of swab is placed on back table.
During vascular surgery, an arteriotomy is executed with a #11 blade and extended by use of a
When inserting a Foley catheter, always
check integrity of the balloon by inflating it with the correct amount of sterile water prior to insertion.
When doing a skin prep, which includes a draining sinus, the contaminated area is
done last or separately
When changing a gown during a case, the _______ is (are) removed first, the _______ second, and a rescrub is ________.
gown; gloves; not neccessary
A culture and sensitivity is done to
determine nature of organism and the susceptibility of that organism
During a basic femoral head fixation, the length and position of the implant is determined by the use of
What isn't true of self-adhering plastic incision drapes?
scrubbed areas must be moist at application
The gas introduced into the peritoneum during laparoscopy to create a pneumoperitoneum is
A bacteria with a thick coat that protects it from temperature extremes or strong chemicals is a
If a towel clip must be removed during a procedure
discard it from the field and cover the area with another sterile drape
Constant monitoring of cardiac function, a requirement for vascular surgery is effected by the use of a
A prosthetic implant that requires nonadherence to tissue for the sake of creating normal flexion and extension is
Unauthorized discussion of a patient's surgery outside of the OR constitutes a lawsuit for
invasion of privacy
When applying a sterile sheet on the patient
protect the gloved hands by cuffing the end of the sheet over them
A drug given preoperatively that enables the liver to produce clotting factors in blood is
If rubber suction tubing is to be reused
The lumen must be flushed with a detergent-disinfectant before tubing is terminally sterilized
Who is responsible for the final count when reliefs have taken place during the case?
scrub person and circulator who do final count
The legal doctrine res ispa loquitor applies to
injuries sustained by the patient in the OR due to negligence
After a case in completed, the sterile team members
discard gown, gloves, caps, masks, and shoe covers before leaving OR suite
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