Chapter 17: Hand Hygiene, Gowning, and Gloving Quiz Flashcards

1
Q

All of the following statements apply when drying the hands and arms EXCEPT:
A. Bend over slightly from the waist
B. Begin drying with the hand and move up the arm
C. Dry thoroughly to avoid skin irritation
D. Roll the towel before discarding into the appropriate container

A

D. Roll the towel before discarding into the appropriate container

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2
Q

The closed-glove technique is used:
A. only when the hands have never passed through the gown cuffs
B. when regloving without assistance during the procedure
C. to assist a surgeon in donning sterile attire
D. as a method for correcting glove contamination

A

A. only when the hands have never passed through the gown cuffs

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3
Q

The sterile areas of the gown include the:

  1. front from two inches below the neck to waist or table level
  2. gloves and gown sleeve to two inches above the elbow
  3. sides from axillae to waist or table level
  4. back of a wraparound gown

A. 1 and 2
B. 1 and 3
C. 1, 2, and 3
D. All of the above

A

A. 1 and 2 (Front from two inches below the neck to waist or table level and gloves and gown sleeve to two inches above the elbow.)

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4
Q

The use of a brush for surgical hand scrubs is not necessary.
A. True
B. False

A

A. True

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5
Q

During gowning, the circulating nurse can assist the scrub person by:
A. pulling the bottom edge of the front of the gown to eliminate blousing
B. helping to get the creases out of the gown’s sleeves by pulling the shoulders up
C. reaching inside the gown and pulling the inside seam
D. All of the above

A

D. All of the above

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6
Q

When taking off the gown at the end of the case, the gloves’ cuffs usually turn down as the sleeves pass off the arms. The wearer removes the gloves using which one of the techniques listed below?
A. Pull off by fingers of each glove
B. Glove-to-glove and then skin-to-skin
C. Open-glove technique
D. Scrubbed person’s choice if gloves are not too dirty

A

B. Glove-to-glove and then skin-to-skin

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7
Q
When a team member other than the scrub nurse contaminates a glove during the surgical procedure, the scrub nurse regloves the team member using which one of the following methods?
A. Assisted gloving 
B. Reverse gloving 
C. Protected gloving 
D. Open gloving
A

This answer is actually considered an open assist.

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8
Q
When performing a surgical scrub with an antimicrobial agent, how far up the arm must an individual scrub?
A. Up to the armpit 
B. Two inches above the elbow 
C. To the elbow 
D. Four inches above the wrist
A

B. Two inches above the elbow

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9
Q

The purpose of the surgical hand scrub is to:

  1. remove normal skin flora
  2. sterilize the skin
  3. suppress growth of microorganisms
  4. remove soil and debris

A. 1 and 3
B. 2 and 3
C. 3 and 4
D. All of the above

A

C. 3 and 4

Suppress growth of microorganisms and remove soil and debris.

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10
Q

Where should the scrubbed person hold onto his or her gown when lifting it up to don it?
A. The sterile exterior of the gown
B. The inside seams at armpits
C. The inside front of the gown just below the neckband
D. At the waist

A

C. The inside front of the gown just below the neckband

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11
Q

Appropriate surgical attire for the scrub person includes:

  1. headgear that covers all hair
  2. protective eyewear
  3. a face mask
  4. shoes the provide protection

A. 1 and 3
B. 1, 2, and 3
C. 2, 3, and 4
D. All of the above

A

D. All of the above

Headgear that covers all hair, protective eyewear, a face mask, and shoes that provide protection.

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12
Q

It is permissible to scrub without removing rings.
A. True
B. False

A

B. False.

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13
Q

Wearing artificial or acrylic nails in the surgical setting is:
A. permitted if they are in good repair
B. unacceptable because they may harbor microorganisms
C. permitted if polish is less than four days old
D. unacceptable for aesthetic reasons

A

B. unacceptable because they may harbor microorganisms

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14
Q

The scrub person may use the closed-glove method to change one or both gloves if they become contaminated.
A. True
B. False

A

B. False

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15
Q

Open or Closed Gloving?

The scrub person’s hands remain inside the gown sleeves and should not touch the cuff edges.

A

Closed

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16
Q

Open or Closed Gloving?

Used for subsequent gloving and when performing procedures when a gown is not worn

A

Open

17
Q

Open or Closed Gloving?

The scrub person’s hands slide all the way through the sleeves and out beyond the cuffs.

A

Open

18
Q

Open or Closed Gloving?

The closed glove method is used for the initial donning of sterile gown and gloves.

A

Closed

19
Q

Why is it a best practice to wear one pair of standard thickness gloves on top of a pair of standard thickness colored gloves?

A

It minimizes the risk of exposure to blood, reduces the number of perforations, facilitates the wearer’s rapid recognition of perforations to the outer glove

20
Q

Describe the sterile areas of surgical attire:

A

Front of the gown from the table level/sterile field to 2 inches below the neck, the sleeves from 2 inches above the elbow to the cuff and the surgical gloves

21
Q

Why should surgical personnel remove the surgical gloves AFTER removing the surgical gown?

A

To prevent cross contamination of the wearer’s scrub attire

22
Q

Why is it important for surgical personnel to wear protective eyewear during a surgical procedure?

A

It reduces contamination of mucous membranes of the mouth, nose and eyes

23
Q

After the surgical hand scrub, the scrub person should keep the fingers of their hands pointed in which direction to allow water to drip away from the surgical attire?

A

Upward

24
Q

After the surgical hand scrub and hand/arm drying with a sterile towel, the scrub person should keep the fingers of their hands pointed in which direction as they wait to gown?

A

Upward