Chapter 48 & 49 Test M 120
After removing sutures and bandaging the site, you should instruct the patient to keep the bandage clean and dry for ________ hours
24
Autoclaved items remain sterile if they have been properly processed and protected from moisture for ____ days.
30
Sterile Technique
A break in this can result in an infection for the patient
Sutureless closures are:
A type of adhesive material
Hemostat
A type of forceps
Medical Asepsis
Aims to reduce the number of microbes associated with diseases
When assisting with suturing a laceration, after bandaging the site you should remove your gloves and:
Dispose of them in a biohazardous waste bag
Strikethrough
Drapes are designed to prevent the spread of bacteria and this
One of the most common causes of fainting, ___________ occurs when your body overreacts to certain triggers, such as the sight of blood or extreme emotional distress.
Vasovagal Syncope
The process of maintaining sterility throughout a surgical procedure is called ____ technique.
aseptic
Which of the following is not a chemical agent commonly used to sterilize certain surgical instruments?
dihydrogen monoxide
Serrations
etchings located on the blades of an instrument to keep it from slipping
Adson forceps are used to:
grasp delicate tissue
Retractor
instrument used to hold back tissue, making the operative site easier to visualize
Surgical instruments should be placed in a container made of _____ to prevent damage to their points and cutting edges.
plastic
On the day of surgery, a patient should not wear:
restrictive clothing
Surgical instruments should be soaked in a _____ solution containing a detergent and a solvent immediately after each use.
room-temperature
Catgut is made from the intestines of
sheep
Sterilization can occur via all but which of the following methods?
soap and hot water
Scrub
specific and thorough hand washing procedure performed for 6 minutes before taking part in any sterile surgical procedure
Staples are removed with a device known as
staple extractor
Surgical Asepsis
techniques used to destroy all pathogenic organisms before they can enter the body
Operating scissors are used to cut:
tissue
How long should you perform hand washing for surgical asepsis or surgical scrub?
two to six minutes
Answer any questions concerning procedure
when the patient arrives for the appointment
Ascertain whether the patient has any allergies to any medications, including topical preparations, latex products, and adhesive tapes
when the patient arrives for the appointment
Ensure that the patient has signed a surgical consent form
when the patient arrives for the appointment
Provide written instructions regarding the surgical procedure and follow-up care
when the patient arrives for the appointment
Which of the following instruments is not used for dilating, probing, and visualizing?
Olsen Hegar needle holder
Ring Handle
Designed to allow the thumb and finger to be inserted to the rings
Hand Antiseptics
Designed to inhibit and kill bacteria but should not take the place of proper hand washing
Cryosurgery
Destruction of tissue and skin lesions using extremely cold temperatures
Chemical Destruction
Destruction of tissue by applying silver nitrate
Incision and Drainage (I&D)
Incision into a localized infection, such as an abscess, to drain the exudate from the area
Needle Holder
Instrument used to hold a suture needle during the suturing process.
Serrations
Little fissures engraved into the surface of the blades of hemostats and forceps designed to prevent slippage
Ratchet
Locking mechanism designed to close in varying degrees to hold the instrument closed
Support Skin Closure
May be necessary to keep the skin together after sutures have been removed, until a wound is completely healed
Consent Form
Must be completed when the patient arrives for surgery
Fasting
Often recommended prior to surgery to lessen the possibility of nausea and vomiting
Electrocoagulation
Often used to control bleeding of the surgical site
A ____ needle holder is used to grasp suture needles.
Olsen Hegar
Contamination
Placed in contact with microorganisms
Dry Heat
Process in which sterilization is accomplished by raising the temperature of surgical instruments to the designated temperature that renders them sterile
Local anesthesia is administered by the:
Provider
Sterile Drape
Reaching over this will contaminate it
Microbial
Related to microbes
Electrosurgery
Removal of benign skin lesions by use of electric current
Electrocautery
Removal of benign skin lesions such as warts and skin tags by use of electric current
Hemophilia
Serious disease in which there is an absence of one of the necessary clotting factors for blood to coagulate
Informed consent
Should be obtained from the patient before the procedure
Thumb Handle
Similar to the handle of a tweezer that is squeezed between the thumb and finger
Sterile Gown
Something that must be worn by anyone assisting in surgery
Biopsy
Specimen must be preserved in a solution of 10% of formalin until transported to the laboratory and prepared for examination
Which of the following terms is defined as the process of destroying all disease-causing microorganisms?
Sterilization
Epinephrine
Substance that is sometimes added to a local anesthetic to help constrict blood vessels in the area, prolonging the effect of the anesthetic
Which of these statements is false?
Surgical instruments typically have numerous functions.
After removing staples from a patient, the emergency center's report should be checked for a ___________ booster
Tetanus
Postoperative Instructions
The medical assistant is responsible for ensuring that the patient or his or her caregiver understands these instructions
Preoperative (preop)
The preparatory period preceding surgery
Aseptic Technique
The process of maintaining sterility throughout a surgical procedure
The procedure
The provider or the medical assistant should record what was to be done
The reason
The provider should record in the patient chart why there was a need for the surgical procedure
Circumcision
The removal of some or all the foreskin (the skin that covers the top of the penis) from the penis
Compared to traditional surgery, when patients undergo laparoscopic surgery:
The required time for many surgeries has decreased
To collect a specimen from an infected wound, you insert ________ into the center of the infected area of the wound.
The tip of a sterile swab
Vital Signs
These can be altered if a patient has lost a considerable amount of blood
Medical Record
This must be documented thoroughly and should be completed after an episode of care
Vasectomy
This prevents sperm from entering the semen, thus making a man sterile
Soaking Solution
This should contain a special protein that breaks down blood and body fluids on the surface of surgical instruments
Jewelry
This should not be worn during a surgical procedure because it harbors microbes
Surgical Asepsis
Total removal of all microbes associated with diseases
Which of the following is not a common surgical position?
Trendelenburg
Patients should be instructed not to take a shower or bath without the patient's approval when they have a wound on the:
Trunk
Suture
Type of thread that is used to join skin of a wound together
Electrocautery
Used to control bleeding of the surgical site
Laser Surgery
Using a concentrated laser beam to destroy a target area without harming the surrounding tissue
Cryosurgery is sometimes referred to as:
Using extremely cold temperatures
Microorganism
a microscopic living body not perceivable by the naked eye
loop electrosurgical excision procedure (LEEP)
-A thin, low-voltage, electrified wire loop removes abnormal cervical tissues -A vinegar (acetic acid) or iodine solution can be applied to the cervix prior to the procedure to help make abnormal cells more visible
Clamping or Grasping Instruments
-Hemostats -Needle Holders -Clamps -Forceps
The Date and Time
-Record when the procedure was performed -The provider might also request that you record when he or she made the incision and when the procedure was completed
Cutting Instruments
-Scissors -Scalpels
Dilating/Probing Instruments
-Scopes -Probes -Retractors -Specula
Items placed directly on sterile field
-Sterile Drapes -Appropriate Suture Material -Needle Holder -Sterile Gauze Pads -Tissue Forceps -Sterile Cups/Basins -Surgical Scissors -Needle/Syringe
Items placed off to the side of the sterile field
-Sterile Gloves -Bandage Scissors -Bandage material (gauze, tape) -Antiseptic Solution -Sterile Water or Saline -Anesthetic -PPE -Antibiotic Ointment
Specimen
-The medical assistant labels this container with the patient's name and other patient-identifying information (name, date of birth) -The medical assistant documents what the sample is and its source
A routine hand washing for medical asepsis should take ____ seconds.
15
Hypoallergenic Tape
Alternative for patients who are allergic to adhesive
Anesthetic
An agent that produces insensibility to pain or touch, either generally or locally
Antiseptic
Applied to a patient's skin prior to surgery to reduce microbial growth
Sutureless
Applied to small laceration; uses an adhesive material to close small lacerations
Needle Biopsy
Aspiration of fluid or tissue cells into a syringe for microscopic examination
Which type of forceps are used to grasp towels and dressings and hold drape towels in place?
Backhaus
Sutures that are not removed can
Become infected
Which of the following statements is NOT true as a general rule to follow when cleaning caring for instruments?
Blood, Tissue, and other body fluids must be allowed to dry on an instrument
When taking a patient's medical history prior to a surgical procedure, if the patient discloses a family history of hemophilia, you should:
Bring the information to the provider immediately and clearly document on the patient's chart
After removing sutures, you should record all BUT which of the following in the progress notes in the patient's chart?
Cause of the incision
Local anesthesia
Causes a loss of sensation in a specific area of the body
Before removing sutures, you should do all of the following EXCEPT
Check the report for a hepatitis B booster
Laceration repair
Closing a wound or laceration by placing sutures or stitches or staples in the skin to hold the edges of the wound together for proper healing
Biopsy
Excision of a small amount of tissue for microscopic examination
Sebaceous Cyst Removal
Excision of a small, painless sac containing a build-up of sebum, the secretion from a sebaceous gland.
Debridement
Excision of lacerated, dead, or contaminated tissue and removal of foreign matter from a wound
The laboratory provides a _______solution container for preservation of tissue specimens for biopsy.
Formalin
When assisting in surgery, what should you use to mop excessive blood?
Gauze SpongesSteril
Patients usually go to a (n) ___________ for suture removal
General practitioner
Fenestrated
Having a window or opening
Teeth
Very sharp projections designed to hold the tissue when grasping
Acupuncture
When assisting with this type of procedure, preparation of the skin is simply to apply a product such as alcohol
Advise patient of the amount of time to fast as instructed by provider if applicable
When scheduling the appointment
Advise patient of the appropriate clothing to wear
When scheduling the appointment
Advise patient of the surgical procedure by providing printed education materials
When scheduling the appointment
Advise patient the approximate length of time for procedure
When scheduling the appointment
Advise the patient of the anticipated time off work or arranging for home care
When scheduling the appointment
Advise the patient of the arrangements necessary for someone to accompany the patient and drive him or her home if necessary:
When scheduling the appointment
The most common local anesthetic agents are:
Xylocaine and Novocaine
Patient Identifier
You can use the name or ID number
Mayo Stand
a stainless steel removable instrument tray set on a movable stand that is positioned over or adjacent to a surgical site; it provides a place for sterile instruments and supplies used during surgery.
Postoperative (postop)
after or following a surgical procedure
Prior to surgery, a patient's skin should be prepped with:
an antiseptic
Speculum
an instrument that permits viewing inside a body cavity
Forceps
an instrument used to grasp tissue and to clamp blood vessels
Which of the following substances is commonly used in cryosurgery to destroy tissue
liquid nitrogen
Ratchet
locking mechanism of an instrument