Term
| One of the five levels of Maslow's Hierarchy of Needs, which is most applicable to the surgical patient? |
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Definition
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Term
| A common fear of school-aged children related to general anesthesia is: |
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Definition
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Term
| A major concern when treating geriatric patients requiring additional emotional support by the surgical team members is: |
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Definition
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Term
Which of the following is NOT routinely required for all patients preoperatively?
-Medical history and physical
-Surgical consent
-Chest x-ray
-Preoperative hygiene |
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Definition
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Term
| Why should nail polish be removed? |
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Definition
| Allow use of pulse oximeter. |
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Term
| When performing the preoperative shave, nicks and cuts are considered a clean wound for up to _____minutes, and the surgical procedure need not be cancelled. |
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Definition
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Term
| Under what circumstance can the patient's hospital identification bracelet be removed? |
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Definition
| Never. Not until discharged from hospital. |
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Term
| How many times is the patient identification confirmed before transporting from the ward room to the surgery department? |
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Definition
5
-Individual transporting PT to OR should ask PT to state their name.
-Confirm with ID bracelet.
-Compare with PT chart.
-Confirm name on surgery schedule.
-Confirm name on PT chart label. |
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Term
| If a discrepancy occurs in the identification of a patient on the hospital ward, what action should be taken? |
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Definition
DO NOT TRANSPORT TO O.R.
Inform O.R. personnel. Inform nursing unit supervisor, O.R. personnel. Transport should not take place until the discrepancy is resolved and PT properly identified. |
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Term
| When transporting a patient to the O.R., in what direction should the gurney be situated? |
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Definition
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Term
| When transporting a patient to the O.R. in a gurney, where should the safety strap be placed? |
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Definition
| Over the thighs (2 inches above the knees). |
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Term
| When transporting a patient to the O.R. in a gurney, how should the patient be transported when using an elevator? |
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Definition
| Enter head first, exit feet first. |
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Term
| An adult patient is illiterate, how is the consent form signed? |
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Definition
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Term
| The ultimate responsibility of obtaining the general consent belongs to the: |
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Definition
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Term
| The patient has withdrawn the general consent prior to surgery. What action should be taken? |
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Definition
| Do not transport patient; inform surgeon |
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Term
In which of the following situations will the patient not be allowed to sign the consent for surgery?
-Patient is legal age
-Patient received preoperative medications
-Patient explained alternative treatments
-Patient is emancipated minor |
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Definition
| Patient received preoperative medications |
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Term
| A patient signs a consent for surgery but does not speak English and does not fully understand what he/she signed. Surgery on the patient could constitute a liability case for: |
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Definition
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Term
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Definition
| Authorizes all routine treatments or procedures |
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Term
| A minor requires emergency surgery, but the parents or closest living relatives cannot be contacted. What procedure should be followed for securing a consent for surgery? |
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Definition
| Two consulting physicians agree. |
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Term
| When using an armboard on the O.R. table, the most important measure is to: |
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Definition
| Avoid hyperextension of the arm |
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Term
Which of the following procedures would be performed with the patient in the lateral position:
-Suprapubic prostatectomy
-Vaginal hysterectomy
-Nephrectomy
-Tonsillectomy |
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Definition
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Term
| The surgical position frequently used for patients undergoing kidney surgery is: |
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Definition
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Term
| When performing the patient skin prep, the skin should be scrubbed and painted from the: |
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Definition
| Incision site to periphery using circular motion |
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Term
| The position most commonly used for mitral valve replacement is: |
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Definition
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Term
| The position most commonly used for tonsillectomy performed under local anesthesia is: |
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Definition
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Term
| What position is commonly used for neurosurgical and some otorhinologic procedures? |
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Definition
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Term
| An anesthetized patient is moved slowly to prevent: |
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Definition
| Cardiovascular complications |
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Term
| When performing an abdominal prep the umbilicus is: |
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Definition
| Prepped last or separately |
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Term
| In the lateral chest position, sandbag or padding is placed under the chest at axillary level to: |
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Definition
| Prevent pressure on lower arm |
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Term
| In the prone position, the thorax must be elevated from the O.R. table to prevent: |
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Definition
| Respiratory complications |
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Term
| Ulnar nerve damage could result from: |
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Definition
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Term
| Stirrups that are not padded or improperly placed on the O.R. table can cause pressure on the: |
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Definition
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Term
| If the patient is in the supine position, the circulating surgical technologist must always: |
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Definition
| Confirm the ankles and legs are not crossed |
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Term
All of the following are requirements of the Kraske position, EXCEPT:
-The hips are placed over break in table
-A pillow is placed under lower legs and ankles
-A padded safety strap is placed 2" above the knees
-The arms are tucked at the sides of the patient |
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Definition
| Arms are tucked at sides of patient |
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Term
| When moving a patient from the lithotomy position: |
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Definition
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Term
Which of the following is not a requirement when a patient is placed in the prone position?
-Safety belt is placed below the knees
-Arms on armboards or raised above head
-Head turned to the side
-Bolsters placed under axillae |
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Definition
| Safety belt is placed below the knees |
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Term
| The femoral nerve can be damaged if: |
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Definition
| Retractors are improperly placed during pelvic surgery |
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Term
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Definition
| Pad heels to prevent pressure from O.R. table |
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Term
| The best surgical position for visualization of the lower abdomen or pelvis is: |
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Definition
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Term
| The surgical position commonly used for thyroid and gallbladder surgery is: |
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Definition
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Term
| Crossing the patient's arms across his/her chest in the supine position may cause: |
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Definition
| Interference with respirations |
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Term
| In the prone position, which nerve could be compressed against the humerus? |
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Definition
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Term
| When positioning an anesthetized patient, supporting the head and neck is the responsibility of the; |
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Definition
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Term
| When moving a patient with an unsplinted fracture, protecting the fracture is the responsibility of the: |
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Definition
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Term
Which procedure is best performed with the patient in the Trendelenburg position?
-Cholecystectomy
-Hysterectomy
-Thyroidectomy
-Rotator cuff repair |
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Definition
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Term
| A reverse Trendelenburg position requires the added table attachment of a/an: |
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Definition
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Term
| A small pad placed under a patient's head in the supine position allows which muscles to relax? |
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Definition
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Term
| What position allows the best approach to the retroperitoneal area of the flank? |
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Definition
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Term
Which of the following positions is used for a cesarean section?
-Supine with bolster under left side
-Supine with bolster under right side
-Lithotomy with bolster under left side
-Trendelenburg with bolster under right side |
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Definition
Supine with bolster under right side.
Prevents pressure on inferior vena cava. |
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Term
| What device is used when placing a patient in the operative position for a thyroidectomy? |
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Definition
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Term
| What nerve could be damaged when the patient is placed in Fowler's position? |
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Definition
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Term
| What size of Foley catheter is commonly used for adults? |
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Definition
| 16 Fr (also sometimes 14 Fr) |
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Term
| How much water is necessary to inflate a 5-cc balloon on the Foley indwelling catheter? |
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Definition
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Term
| After inserting the Foley catheter and prior to inflating the balloon, what should be confirmed? |
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Definition
| Urine flow into drainage bag |
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Term
| Where should the Foley indwelling catheter drainage bag be positioned after insertion of the catheter? |
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Definition
| Lower than level of the bladder |
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Term
| When performing a preoperative, patient-shave prep, all of the following apply except: |
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Definition
| Shave against the direction of hair growth |
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Term
| If used as part of the skin prep, ______ solution should be allowed to dry before electrocautery is used |
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Definition
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Term
Which of the following agents is commonly used when performing a patient skin prep of the eye?
-Triclosan
-Alcohol
-Chlorhexidine gluconate
-Iodophor |
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Definition
| Triclosan (blood spectrum antimicrobial) |
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Term
| When performing a patient skin prep of the vagina, which area is prepped last? |
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Definition
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Term
Which of the following areas should be prepped last when performing a patient skin prep?
-Skin incision site
-Axillary region
-Umbilicus
-Stoma |
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Definition
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Term
| When draping a prep table, the first scrub surgical technologist should drape from: |
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Definition
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