Chapter 22: Powered Surgical Instruments

Question 1

Compared to conventional hand-held instruments, powered surgical instruments:
A. Enable the surgeon to work more quickly
B. Cause less trauma to surrounding tissues
C. Decrease surgical time.
D. All of the above.

Answer 1

D. All of the above.

Enable the surgeon to work more quickly, cause less trauma to surrounding tissues, and decrease surgical time.

Question 2

Powered surgical instruments are used for all of the following EXCEPT:
A. cutting and fixation of bone
B. Splitting the sternum
C. Harvesting skin for grafting
D. Suturing tissues

Answer 2

D. Suturing tissues

Question 3

All of the following have a rotary action EXCEPT:
A. Femoral reamers
B. Automatic screwdrivers
C. Bone rasps
D. K-wire drivers

Answer 3

C. Bone rasps

Question 4

Direct current is the source of power for:
A. Pneumatic instruments
B. Battery-operated instruments
C. Instruments that plug into wall current
D. All of the above

Answer 4

B. Battery-operated instruments

Question 5

When regulating the gas flow for pneumatic instruments, the correct pressure should be set:
A. By the manufacturer
B. Before the instrument is activated
C. While the instrument is activated
D. Before attaching the hose

Answer 5

C. While the instrument is activated

Question 6

When not in use, powered surgical instruments should be placed:
A. on the patient
B. On a non-sterile table
C. on a Mayo stand or sterile table that is separate from the sterile field
D. Any of the above

Answer 6

C. on a Mayo stand or sterile table that is separate from the sterile field

Question 7

When decontaminating and cleaning a pneumatically powered surgical instrument:
A. The gas hose should remain attached to the hand piece
B. A detergent/disinfectant solution should be used
C. The outside should be dried with lint free towels
D. All of the above.

Answer 7

D. All of the above

The gas hose should remain attached to the hand piece, a detergent/disinfectant solution should be used, and the outside should be dried with lint free towels

Question 8

When packaging a powered surgical instrument for sterilization, small, delicate parts should be
A. Protected by placing in appropriate section of container or packaged separately.
B. Left unpackaged
C. placed under the instrument to prevent movement during sterilization
D. Placed loosely in the container to prevent stress and tension on the parts

Answer 8

A. Protected by placing in appropriate section of container or packaged separately

Question 9

Criteria for choosing powered surgical instruments include:
A. Effectiveness and power
B. Cost and sterilization
C. Versatility and durability
D. All of the above.

Answer 9

D. All of the above.

Effectiveness and power, Cost and sterilization, and Versatility and durability

Question 10

The earliest applications of powered surgical instruments were in the field of:
A. Neurosurgery
B. Ophthalmology
C. Dentistry
D. Orthopedics

Answer 10

C. Dentistry

Question 11

Powered surgical instrument systems typically have the following basic components
A. A power source, a hose or cord that connects the power source to the hand piece and the hand piece
B. A power source, a hose or cord that connects the power source to the hand piece, the hand piece, a hand or foot control, and accessory attachments
C. A power source, a hose or cord that connects the power source to the hand piece, and accessory attachments
D. A power source, hand piece and accessory attachments.

Answer 11

B. A power source, a hose or cord that connects the power source to the hand piece, the hand piece, a hand or foot control, and accessory attachments

Question 12

To protect health care workers from exposure to blood and other potentially infectious material, the Occupational safety and health administration blood borne pathogens standard requires that employers supply?
A. Masks that have eye protection devices
B. Goggles
C. Glasses with solid side shields
D. All of the above

Answer 12

D. All of the above

A. Masks that have eye protection devices, goggles, and glasses with solid side shields

Question 13

Why is it so important for the perioperative nurse to have a thorough understanding of the use, handling and care of all surgical instruments?

Answer 13

Responsible for anticipating the needs of the team

Question 14

Why is it important for instruments to be cleaned and decontaminated as soon as possible after use?

Answer 14

It keeps them clean of blood and body fluid, prevents residue from building up

Question 15

What are the repercussions of NOT inspecting each instrument before and after each use to detect imperfections?

Answer 15

The instrument could not perform properly for the surgical team when it is needed