Ch 48-49 review
after removing sutures and bandaging the site, you should instruct the patient to keep the bandage clean and dry for ___ hours
24-48
Autoclaved items remain sterile if they have been properly processed and protected from moisture for
30 days
the process of maintaining sterility throughout a surgical procedure is called ____ technique
aseptic
____forceps are used to grasp towels and dressings and hold drape towels in place
backhaus
when assisting with minor surgery the medical assistant should
bandage the surgery site
Sutures that are not removed can
become infected
protective personal equipment should be put on ____ donning sterile gloves
before
When should the room where the surgery will take place and the sterile tray be set up?
before the patient is escorted into the area to be prepared for the treatment
excision of a small amount of tissue for microscopic examination
biopsy
after removing sutures you should record the condition of the site, type of antiseptic applied and type of bandage applied but you would not
cause of the incision
When using sterile gloves the medical assistant should
check gloves for tears and holes
destruction of tissue by applying silver nitrate
chemical destruction
used for cutting or grasping
clamps
the medical assistant should ________when preparing the skin for minor surgery
clip the hair of patient with scissors and/or shave with razor
cryosurgery is sometimes referred to as
cold cautery
the ____ must be completed when the patient arrives for surgery
consent form
______ when patients undergo laparoscopic surgery as compared to traditional surgery
costs are reduced
______is the preferred method used to remove skin tags, warts, and other skin disorders and growths
cryosurgery
destruction of tissue and skin lesions using extremely cold temperatures
cryosurgery
when assisting with suturing a laceration, after bandaging the site you should remove your gloves and
dispose of them in a biohazardous waste bag
the process in which sterilization is accomplished by raising the temperature of surgical instruments to the designated temperature that renders them sterile is known as
dry heat
Removal of benign skin lesions by use of electric current
electro surgery
Used to control bleeding during a procedure
electrocautery
Often used to control bleeding at the surgical site
electrocoagulation
substance that is something added to a local anesthetic to help constrict blood vessels in the area prolonging the effect of the anesthetic
epinephrine
(T/F) surgical instruments typically have numerous function
false
_____ is often recommended prior to surgery to lessen the possibility of nausea and vomiting
fasting
used for cutting or grasping
forceps
the laboratory provides a ____ solution for preservation of tissue specimens for biopsy
formalin
_____ when assisting in surgery are typically used to mop excessive blood
gauze sponges
Patients usually go to a(n) ______ for suture removal
general practitioner
Addison forceps are used to
grasp delicate tissue
_______ are designed to inhibit and kill bacteria, but should not take the place of proper hand washing
hand antiseptics
______ is a serious disease in which there is an absence of one of the necessary clotting factors for blood to coagulate
hemophilia
used for cutting or grasping
hemostats
alternative for patients who are allergic to adhesive
hypoallergenic
____ should not be worn during a surgical procedure because it harbors microbes
jewelry
This must be documented thoroughly and should be completed after an episode of care
patient treatment
local anesthesia is administered by the
physician
surgical instruments should be placed in a container made of _____ to prevent damage to their points and cutting edges
plastic
used for dilating/probing
probes
when removing sutures the medical assistant shoud
pull the suture with the forceps toward the healing incision
locking mechanism designed to close in varying degrees to hold the instrument closed
ratchet
used for dilating/probing
retractors
Designed to allow the thumb and finger to be inserted into the rings
ring handle
surgical instruments should be soaked in a _____ solution containing a detergent and solvent immediately after each use
room-temperature
used for cutting
scalpels
used for cutting or grasping
scissors
used for dilating/probing
scopes
excision of a small painless sac containing a buildup of sebum the secretion from a sebaceous gland
sebaceous cyst removal
Little fissures engraved into the surface of the blades of hemostats and forceps designed to prevent slippage
serrations
Catgut is made from the intestines of
sheep
______ may be necessary to keep skin together after sutures have been removed until a wound is completely healed
skin closures
a ______ should contain a special protein that breaks down blood and body fluids on the surface of surgical instruments
soaking solution
sterilization can occur via autoclave, dry heat, and gas but it cannot occur using
soap and hot water
used for dilating/probing
specula
Staples are removed with a device known as
staple extractor
Reaching over a _____ will contaminate it.
sterile drape
a ______ is something that must be worn by anyone assisting in surgery
sterile gown
a break in _____ can result in an infection for the patient
sterile technique
the term _____ is defined as the process of destroying all disease-causing microorganisms
sterilization
Drapes are designed to prevent the spread of bacteria and this
strike through
_______ refers to the total removal of all microbes associated with diseases
surgical asepsis
______ is a type of thread that is used to join skin of a wound together
suture
Very sharp projections designed to hold the tissue when grasping
teeth
after removing staples from a patient, the emergency center's report should be checked for a_____ booster
tetanus
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 cotton swab
Similar to handle of tweezers that is squeezed between thumb and finger
thumb handle
operating scissors are used to cut
tissue
a common surgical position includes, lateral, fowlers, and lithotomy but it does not include
trendelenberg
(T/F) before removing sutures you should check the report for a tetanus booster, check the number of days the provider who put them in recommended as time to wait and ask the provider to inspect the healing wound
true
(T/F) the following are chemical agents used to sterilize certain agents; glutaraldehyde, chlorine dioxide and sodium hypochlorite
true
(T/F) when assisting with suturing a laceration, the medical assistant should advise the patient to empty their bladder, take vital signs, and ask if patients is allergic to latex
true
patients should be instructed not to shower or bathe without the physicians approval when they have a wound on the_____
trunk
Sutureless closures are a
type of adhesive material
These can be altered if a patient has lost a considerable amount of blood
vital signs
Allows microorganisms to enter the tiny openings where sutures were removed until they are healed
wet dressing
the most common local anesthetic agents are ____ and ____
xylocaine and novocain
a routine hand washing for medical asepsis should take___ seconds
15
on the day of surgery the patient should not wear
Restrictive clothing
Prior to surgery patients skin should be prepped with
antiseptic
the chemical ____ is used to sterilize the skin for surgery preparation
antiseptic
a _____ is applied to a patients skin prior to surgery to reduce microbial growth
antiseptics
you should _____ before putting on sterile gloves
Completely and carefully perform a hand washing
when assisting with _____ preparation of the skin is simply to apply a product such as alcohol
acupuncture
Closing a wound or laceration by placing sutures, stitches, or staples in the skin to hold the edges of the wound together for proper healing
laceration repair
Using a concentrated laser beam to destroy a target area without harming the surrounding tissue
laser surgery
_______is a substance commonly used in cryosurgery to destroy tissue
liquid nittogen
Causes a loss of sensation in a specific area of the body
local anesthesia
when taking a patients medical history prior to a surgical procedure, if the patient discloses a family history of hemophilia you should
mark this information in red ink on the patients chart
the _____ is used to hold instruments during a surgical procedure
mayo tray
the aim of ____ is to reduce the number of microbes associated with diseases
medical asepsis
aspiration of fluid or tissue cells into a syringe for microscopic examination
needle biopsy
used for cutting or grasping
needles holders
a _____ needle holder is used to grasp suture needles
olsen hegar