Chapter 14 Patient Care

Question 1

What is a fenestrated drape?

Answer 1

A drape with one or more openings

Question 2

When wearing a lead apron during a radiographic exam, where should the radiation detection monitor be located?

Answer 2

Outside the apron at the collar level

Question 3

The three zones of the surgical suite are Zone 1: An unrestricted zone, Zone 2: A semirestricted zone, and Zone 3: A restricted zone. In which zone must ALL persons wear scrub dress, shoe covers, and masks?

Answer 3

Zone 3

Question 4

Why is catheterization considered to be an invasive procedure?

Answer 4

Sterile technique must be observed

Question 5

What are Alcohol (70%), chlorine compounds, and glutaraldehyde considered to be?

Answer 5

Disinfectants

Question 6

What is the practice that helps reduce the number and spread of microorganisms?

Answer 6

Medical asepsis

Question 7

During the performance of radiographic procedures, everyone in the adjacent area (in the room) should be wearing protective radiation apparel, such as a lead apron. In the surgical suite during the operative procedure, which persons should be wearing protective radiation apparel?

Answer 7

Everyone who remains during x-ray exposures

Question 8

Generally, when radiographer/s are in the operating room, they are not scrubbed-in, but must follow general Zone 3 dress and what else?

Answer 8

Handwashing for 3 minutes plus scrub suit, shoe covers, cap, and mask (gloves are not usually needed)

Question 9

What is the complete removal of microorganisms and their spores?

Answer 9

Surgical asepsis

Question 10

In regards to surgical asepsis, what are the responsibilities of a radiographer?

Answer 10

Maintain a sterile field and perform skin prep, and perform surgical scrub

Question 11

What is the assumption when the sterility of an object is in question?

Answer 11

Do not use, it is considered contaminated

Question 12

Which corner of a sterile pack is opened first?

Answer 12

The corner farthest away

Question 13

When the sterile person begins placing the sterile drapes, which drapes are placed first?

Answer 13

The drapes closest to the sterile person

Question 14

How is the skin prepped for a sterile procedure?

Answer 14

Begin at the inside of the site and scrub in a circular motion to the outside

Question 15

A wet area on a sterile field is considered contaminated. If this occurs what should be done?

Answer 15

Place several thicknesses of sterile towels over the wet area

Question 16

What is the most effective sterilization technique?

Answer 16

Moist heat

Question 17

When portable x-ray units are brought into the operating room, what is the essential preparation that must be performed?

Answer 17

Wipe the unit with disinfectant (just dusting it off is not enough)

Question 18

When preparing to pour liquids into a container on a sterile field, precautions must be taken to prevent the solution from splashing and drips from landing on the tray, what are some of these precautions?

Answer 18

Place lid face upward and well above the sterile tray and pour off a small amount before pouring remainder into the sterile container

Question 19

In designing an operating room, many possible hazards are considered and protections put into place, such as explosions and electrical shocks. What is the greatest hazard that cannot be placed into the physical design?

Answer 19

Contamination

Question 20

How should persons in sterile dress pass each other?

Answer 20

Back to back

Question 21

Where on the front of the gown is the area considered sterile?

Answer 21

In front above the waist including the arms

Question 22

When in sterile dress, where should the sterile gloved hands be kept?

Answer 22

Above the waist

Question 23

If no one is in the room, is it acceptable for the sterile field to be left unattended?

Answer 23

No!

Question 24

In order to prevent explosions in the operating room, what precautions are generally taken?

Answer 24

Use antistatic cleaners for equipment, use the specially designed electrical plugs, and wear apparel with antistatic/flame retardant materials (shoe covers and other garment have antistatic strips made in them

Question 25

Generally, what areas are considered sterile in the operating room?

Answer 25

Draped patient, surgeon and scrub nurse, and instrument table and instruments

Question 26

What is the complete removal of all microorganisms rom an object called?

Answer 26

Sterilization

Question 27

What does an autoclave use to sterilize objects placed inside?

Answer 27

Steam under pressure

Question 28

What should be done with sterilized objects with no expiration date?

Answer 28

Consider them unsterile

Question 29

When wearing a sterile gown, how is the lead apron worn?

Answer 29

Under the sterile gown

Question 30

When performing skin prep and/or painting the skin, how many passes with the same sponge may be made?

Answer 30

One

Question 31

Why are sterile techniques used for urinary catheterization and any other invasive procedures related to the urinary tract?

Answer 31

The urinary tract is sterile including the urinary bladder

Question 32

when entering a surgical suite and preparing to enter Zone 2, a radiographer must:

Answer 32

change into scrub suit, shoe covers and cover hair

Question 33

Disinfectants are categorized depending on their ability to disinfect. Alcohol is considered an intermediate-level disinfectant. This means that

Answer 33

may be used to disinfect thermometers adn medication vials

Question 34

the purpose of a surgical scrub is

Answer 34

to remove as many microorganisms as possible from the skin

Question 35

when preparing to enter the OR the radiographer must don a lead apron. He must wear his radiation protection bade:

Answer 35

outside the lead apron

Question 36

any dressing removed in the imaging dept must be considered:

Answer 36

contaminated

Question 37

when sterile drapes are placed by the sterile person the drape is placed:

Answer 37

in area nearest sterile person first

Question 38

sterile technique must be used during a dressing change only if the dressing is not contaminated
true or false?

Answer 38

false: the changed dressing is always considered to be contaminated

Question 39

list 3 responsibilities of the radiographer in the OR or special procedures room:

Answer 39

1. for protecting everyone in the room from radiation exposure
2. to be knowledgeable about the areas that are sterile
3. to make sure any radiation equipment used is clean and dust free

Question 40

list 3 things that contaminate a surgical suite or OR:

Answer 40

1. contaminated gloves/surgical instruments
2. wet/damp sterile field
3. microorganisms blown onto a surgical site