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