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Surgical Nursing > second test > Flashcards

second test Flashcards

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1
Q

surgical site

A

area where incision is made

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2
Q

strike-through

A

moisture causes contamination. splashing

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3
Q

the condition under which packs are stored will affect

A

the length of time the contents can be assumed to remain sterile

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4
Q

how long are heat-sealed and plastic pouches good for open/closed shelf

A

2 weeks- open

1 year- closed

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5
Q

a sterilized pack is considered contaminated if//

A

it becomes wet, tape is broken or loosened, date is missing, pack is punctured, dropped on floor.

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6
Q

labeling packs

A

date of autoclave, contents, initials

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7
Q

how long do contaminated instruments sit in betadine/nolvasan

A

3 hours

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8
Q

how long to sit in cold sol’n minimum

A

15 min

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9
Q

how long to sit in alcohol

A

1 hour and allow to dry

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10
Q

5 sterile items to prepare

A

packs, gowns, hand brushes, hand towels, drapes

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11
Q

which type of wrap material is muslin

A

cotton textile

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12
Q

cotton textile must come _____, more resistant to____

A

must come double wrapped, more resistant to tears

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13
Q

cloth-like material that is reusable

A

crepe

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14
Q

material that tears easily

A

non-crepe

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15
Q

fairly resistant to damage

A

paper

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16
Q

what to do with instruments directly after Sx

A

place them in soak.

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17
Q

prolonged exposure to blood and saline -

A

causes pitting on surfaces of metal

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18
Q

use a wire bristle brush to

A

remove rust from instruments

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19
Q

rinse or spray with ____ to inhibit rust formation

A

instrument milk

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20
Q

if rinsing with instrument milk- how long

A

45 seconds

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21
Q

how long is the instrument milk cycle

A

20-30 min (with drying and autoclave)

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22
Q

clinics now use what for instrument clean up

A

ultrasonic cleaner

23
Q

how do ultrasonic cleaners work

A

use high frequency sound waves to clean unreached areas

24
Q

must do what before autoclaving

A

lube

25
Q

must be thoroughly __ __ and __ before autoclaving

A

rinsed, dried, lubricated

26
Q

lube should be applied to

A

to all hinged, box lock, or ratchet instrument

27
Q

aside from preventing rust, what else does lube prevent

A

electrolysis

28
Q

3 corner drapes are normally used for

A

canine neuters

29
Q

mayo stand drapes can be used how many times

A

once

30
Q

2 people who have contact with the sterile field

A

surgeon, sterile scrub nurse

31
Q

how long is bloodwork good for

A

30 days

32
Q

what tube to use for hematologies

A

purple top tube EDTA

33
Q

what tube for manual clotting

A

blue top tube

34
Q

how to clip hair

A

clip with grain of hair then against

35
Q

express bladder on who if necessary

A

all spays- no neuters

36
Q

dont express bladder for what kind of Sx

A

abdominal- cystotomies, exploratories, pyometra

37
Q

dirty prep nurse adds what kind of scrub

A

nolvasan/betadine scrub

38
Q

surgical prep nurse starts with what scrub

A

antiseptic- betadine/nolvasan

39
Q

what do surgical prep nurse use to rinse as a final paint

A

sterile water or 70% alcohol

40
Q

why to rinse until scrub is gone

A

can irritate mm of vulva or prepuce

41
Q

care must be taken during positioning of pt to-

A

maintain airway and maintain IV fluid flow at all times

42
Q

dorsal position for what surgeries

A

abdominal- spay/neuter/exploratory. cervical disc sx

43
Q

sternal position for what surgeries

A

lumbar disc sx, anal sacculectomy, cranial and ear sx

44
Q

frog position

A

sternal position

45
Q

most routine position

A

dorsal position

46
Q

lateral position surgeries

A

kidney, lung, pelvis, extremities, dentals

47
Q

which way do the feet go when flipping animal

A

under the pt, to prevent bloat

48
Q

hanging prep is often used with

A

orthopedic sx, amputation

49
Q

how is hanging prep normally suspended

A

from an overhead support or IV stand during prep

50
Q

advantage of hanging prep

A

allows aseptic prep of the entire circumference of limb

51
Q

microorganisms must be introduced into the surgical site in order for

A

infection to develop

52
Q

exogenous route, endogenous route

A

outside patient, inside patient

53
Q

the surgery team has the most control over

A

infection within the patient

54
Q

how much contact time between skin and surgical scrub

A

5 minutes

Surgical Nursing (5 decks)

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