preop practice Flashcards
Why are surgical loupes used?
magnify the surgical field
Why is a pneumatic tourniquet may be used for extremity surgery?
to reduce blood loss
How should two individuals in sterile attire pass one another in a sterile field?
pass back to back
Which of the following items should be used to transport a patient in traction?
bed
Which of the following is most likely to be in place while transferring a patient from the operating room table to the stretcher?
IV tubing and foley catheter
How should an esmarch bandage be applied to an extremity?
distal to proximal
When applying a pneumatic tourniquet preoperatively, which of the following items is used to force blood from an extremity?
esmarch bandage
A patient’s dentures are removed in the OR. What is the proper procedure for caring for the dentures?
place them in a labeled denture cup and keep them with the patient’s chart
Wrinkle-free padding is applied to an extremity before application of a tourniquet to avoid
skin injuries
Which of the following is the first step in applying the pneumatic tourniquet?
padding the area where the tourniquet is to be wrapped with Webril
On which of the following would an antiseptic be used?
skin surface
Which of the following increases air contamination in the OR?
maintaining air pressure lower than the outside hall
When performing a urinary bladder catheterization, it is essential to
keep the catheter tip sterile
Which of the following is the correct skin preparation for a female patient undergoing a right mastectomy with possible axillary dissection?
shoulder, upper arm and extending down to the elbow, axilla, chest to the table midline, and the left shoulder
How can bacteria be reduced in the OR?
damp dusting of surfaces each morning
In which of the following positions is a patient placed for a right nephrectomy?
left lateral kidney
The primary reason the padding is used in positioning a patient is to
prevent injury to pressure joints
When evaluating the patient’s skin for the preop prep, which of the following is considered a contaminated area?
draining sinus
Which of the following is not an acceptable technique when placing a patient in the lithotomy position?
legs placed in stirrups one at a time
Which of the following positions is used for a pneumonectomy?
lateral
What is the best placement for the grounding pad with the patient in the lithotomy position?
anterior thigh
What is a fenestrated drape?
a drape with an opening that allows exposure to the operative site
An ST counts only 9 sponges in a pack on the initial count. After recounting the sponges, it is confirmed that there are only 9 in the pack. What is the appropriate action?
remove the current package from the sterile field, but not the OR, document the problem; open a new package and recount
During a procedure, an ST touches an unsterile item with a sterile glove. What should the ST do?
change glove at once
Which of the following items may be used in positioning a patient for a total hip arthroplasty?
bean bag
An ST has selected the sutures for a procedure based on the surgeon’s preference card. The surgeon states that he would like additional sutures and his preference card is outdated. What should the ST do?
ask the surgeon if he would like to have his preference card updated and proceed accordingly
Which of the following positions is used to provide access to the head and neck during a thyroidectomy?
reverse Trendelenburg
Which of the following parts of the body are prepped for an ORIF of the olecranon?
arm, fingers to shoulder
Hair removed during preparation for cranial surgery should be
sent with the patient as their property
Which of the following increases air contamination in the OR?
maintaining air pressure lower than the outside hall
Once an ST dons a gown, the cuffs on the gown are considered unsterile because they are
absorbent and collect moisture
What color is a nitrous oxide tank?
blue
A trauma patient from a MVA is on the way to the OR. Which of the following injuries is most likely related to airbag deployment?
arm fractures
When a break in aseptic technique occurs, the ST should first notify the
contaminating team member
During a procedure, an ST notices a hole in their glove. What is the appropriate action?
change the glove using the open-glove technique
When donning gloves using the open glove technique, the ungloved hand will touch the
folded edge of the cuff of the glove
What is the primary purpose for changing into operating room attire?
to prevent the spread of microorganisms
What is the best placement for the grounding pad with the patient in the lithotomy position?
anterior thigh
On which of the following would an antiseptic be used?
skin surface
