Surg 102--Chap 10 (Fuller) Flashcards

1
Q

Surg Tech’s must be aware of the risks and dangers associated with positioning the patient for surgery.

A

True

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2
Q

All staff members need to protect their own health by using approved methods for patient movement and handling.

A

True

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3
Q

Moving a patient always poses the risk of an accident.

A

True

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4
Q

Never try to lift or maneuver the patient while reaching forward, away from your center of gravity.

A

True

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5
Q

Patient identification is a critical issue in health care.

A

True

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6
Q

The surgical team must be guided and directed in the position process. The ACP, surgeon, and circulator draw this direction from their knowledge of the patient’s status.

A

True

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7
Q

Never leave a child unattended or unobserved.

A

True

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8
Q

Greater than normal extension is _____.

A

hyperextension

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9
Q

Greater than normal flexion is _____.

A

hyperflexion

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10
Q

Nerve injury from hyperextension or hyper flexion is a _____.

A

traction injury

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11
Q

Continuous pressure on the nerve or its blood can cause _____.

A

necrosis

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12
Q

Compression of vessels restricts the blood supply to the tissue, this is called _____.

A

ischemia

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13
Q

What is stage 1 of the classification of pressure damage and stages of pressure ulcers?

A

Nonblanchable erythema of intact skin, the heralding lesion of skin ulceration

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14
Q

What is stage 2 of the classification of pressure damage and stages of pressure ulcers?

A

Partial-thickness skin loss involving the epidermis and/or dermis. A superficial ulcer evolves and develops clinically as an abrasion, a blister, or a shallow crater

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15
Q

What is stage 3 of the classification of pressure damage and stages of pressure ulcers?

A

Full-thickness skin loss, involving damage to or necrosis of subcutaneous tissue, that may extend down to but not through underlying fascia. The ulcer presents clinically as a deep crater with or without undermining of adjacent tissue

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16
Q

What is stage 4 of the classification of pressure damage and stages of pressure ulcers?

A

Full-thickness skin loss with extensive destruction, tissue necrosis, or damage to muscle, bone, or supporting structures

17
Q

The ulnar nerve where is passes through the _____ of the elbow.

A

condylar groove

18
Q

The ulnar nerve where is passes through the condylar groove and then at the _____.

A

cubital tunnel

19
Q

The common _____ and _____ nerve and vessels where they pass through the popliteal fossa at the back of the knee

A

peroneal and tibial

20
Q

The _____, which is a complex anatomical area where the branches of nerve roots from C-5 to T1 or T2 merge.

A

brachial plexus

21
Q

The _____ nerve roots at the base of the spine.

A

lumbosacral

22
Q

A _____ is associated with a pressure injury

A

shear injury

23
Q

A _____ is a blood clot that circulates in the vascular system and lodges in a vessel, causing obstruction or occlusion.

A

thromboembolus (thrombus)

24
Q

_____ is placed on the patient’s legs before long procedures or on patients predisposed to clot formation.

A

Antiembolism stockings or sequential compression device (SCD)

25
Supine position (dorsal recumbent position)
- patient on back - used for procedures of the abdomen, thorax, and face - feet must no extend over the edge of the table - legs must not be crossed
26
Trendelenburg position
- variation of supine, table is tilted head down - permits greater access to the lower abdominal cavity and pelvic structures - gravity retracts organs such as the small intestine, proximal large bowel, and omentum towards head
27
Reverse Trendelenburg position (foot down)
- variation of supine, table is tilted foot down - unobstructed access to the upper peritoneal cavity and lower esophagus - instruments must be secured by a magnetic pad or pocket holders
28
Lithotomy position
-patients thighs are abducted, and both knees and hips are flexed -feet or in stirrups used for gynecological, obstetrical, and genitourinary procedures -can cause severe tissue injury
29
Low lithotomy position
- maintained by stirrups or knee crutches | - allows access to the perineum and pelvic structures
30
Sitting (Fowler) position
- orthopedic procedures | - used for facial, cranial, or reconstructive breast surgery
31
Lateral (Sims) position
- orthopedic procedures - used for renal system and cardiothoracic surgery - patient anesthetized in supine position - need at least 4 people
32
Prone position
- lying face down - allow access to the spine, cranium, and perianal region - patient anesthetized in supine position - 4 to 6 people required
33
Jackknife (Kraske) position
- simultaneous head-down and foot-down posture | - anorectal surgery