Multiple Choice Ch. 11 Flashcards
______ is responsible for ensuring that no item is left in a patient.
All team members
Load the needle holder ____ removing the entire needle suture combination from the package.
before
The ________ is responsible for maintaining an organized and safe surgical field.
Surgical Tech
The process of suturing two tissue edges together is called _____.
Approximation
_________ will contribute to the healing process of the surgical incision.
All of the above
Excess inflammation and serous discharge from the wound is a sign of surgical _______.
Site infection
In areas where great strength is required, such as abdominal incisions, ______ sutures are used in conjunction with routine abdominal suture layers to add support to the closure.
Retention
Any tissue or item removed from the patient’s body during surgery is ______ and is maintained in a specific way on the surgical field to prevent loss or damage.
A specimen
A ____________ is a database containing each surgeon’s particular routines for specific instruments for a particular surgery.
Surgeon’s preference card
Removal of a sample of tissue for pathological analysis is called a _________.
biopsy
When cutting sutures, use only ______ scissors. To cut the suture, open the scissors slightly. Use only tips of the scissors to cut; never the midportion of the blades. Cut only when you can see what you are cutting.
sharp suture
Surgical gut sutures are packaged in a _________ solution.
Alcohol
A ________ suture is a suture-needle combination designed to discharge the suture easily.
control-release
The ________ containing towels, drapes, and gowns is centered on the back table and opened using aseptic technique.
basic pack
Which of the following is used to exsanguinate the limb before the pneumatic tourniquet is applied?
Esmarch
The _________ needle has a round body that narrows to a sharp point. It punctures tissue, making an opening for the body of the needle to follow. Its primary use is for suturing soft tissue.
tapered
Inadequate lighting increases _______. The surgical technologist adjusts lights as needed.
the risk of error
A _________ suture is a continuous suture used to approximate the open ends of a lumen. It is traditionally used during
Running
Two types of ________ are commonly taken during surgery. These are aerobic and anaerobic.
bacterial cultures
Gathering needed diagnostic studies, such as radiographs, magnetic resonance images, or other data the surgeon needs during the case is part of
_______.
Universal protocol
__________ dressings are used to prevent or limit movement of the surgical wound during healing.
Supportive
A method used for gathering supplies for a case is referred to as an _______ system.
case cart
___________ is tubing through which retention sutures are threaded to prevent them from cutting into the patient’s skin.
Bolsters
You may have up to 10 trays on a complex case. This is why it is important to think about what you need, locate it among all the supplies, and then put it in a specific place. If instrument trays must be stacked, place the ________ ones on the bottom.
least-used
Before organizing and preparing supplies during setup, _________ the sterile area.
Increase the size of
A free-tie suture attached to the end of a clamp is called a _______
tie on a passer
Avoid shifting items around from one place to another during setup. Try to handle an item only once. Shifting items from one location to another without purpose increases the chance of _________ and is not productive.
contamination
A ________ suture with long suture length is anchored at one end of the tissues, and the needle alternated from one side of the tissue edge to the other the entire length of the wound.
Simple or interrupted
Most commercial needles are now manufactured with the suture preattached. This is called a _______ suture.
Swage
The knot is the ________ part of the suture.
weakest
the process preceded by patient verification process detailed by The Joint Commission is called ___.
TIMEOUT
A monofilament suture is extruded from the package and _______.
stretched slightly
The ability of suture material to absorb fluid is called _____.
Capillary action
The _______ phase of wound healing is the proliferative stage. During this phase, fibroblasts synthesize collagen and other cell matrices.
second
When handling _________ , exercise caution to prevent puncturing your or a team member’s glove.
stainless steel sutures
A suture-needle combination containing a needle at each end of the suture is called a _____ suture.
double-armed
How to position the needle holder in relation to the suture needle depends on whether the ______ is right-handed or left-handed.
surgeon
All sharps should be passed with ________. If hospital policy or an individual surgeon has not implemented this technique, the scrub must pass sharps in the traditional manner.
A neutral zone technique
The count is performed by two people. Professional standard for counts as published by AORN requires a ________ and another health care worker such as the surgical technologist to perform the count.
circulator
The surgical technologist must keep track of the amount of __________ used in the wound so that estimated blood loss can be calculated.
Irrigation fluid
____________ are not brought to the Mayo stand until the superficial wound layers are closed and the final sponge counts have been completed.
Dressings
A tissue implant derived from another person, animal, or the patient is called a _______
graft
Using a ________ approach to all setups improves efficiency.
Methodical
Surgeons are accustomed to receiving sutures from the scrub in a prescribed manner for ________.
safety and efficiency of movement
A suture that causes little or no bioactivity is said to be _____.
Inert
