Chapter 48 & 49 Test M 120

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After removing sutures and bandaging the site, you should instruct the patient to keep the bandage clean and dry for ________ hours

Autoclaved items remain sterile if they have been properly processed and protected from moisture for ____ days.

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.

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