Deck 26: Positioning,prepping,and Draping the Patient

Question 1

Which is a reason to catheterize a patient during a surgical procedure?

A)To decrease postoperative pain
B)To permit accurate output measurement
C)To prevent urine leakage on the OR table
D)To expedite a patient's recovery period

Answer 1

B
The sterile process of catheterizing a patient before or during a surgical procedure allows the anesthesia provider and surgeon to measure output and prevent distention and trauma to the bladder.

Question 2

What normal capillary interface pressure should be maintained to prevent pressure injuries?

A)10-15 mm Hg
B)15-20 mm Hg
C)23-32 mm Hg
D)35-40 mm Hg

Answer 2

C
According to AORN Standards,positioning devices should maintain normal capillary interface pressure of 23 to 32 mm Hg to prevent pressure injuries.Blood flow and tissue perfusion are restricted at higher pressures.

Question 3

Which is a possible complication of being in the lithotomy position?

A)Mitral valve prolapse
B)Hearing loss
C)Compartment syndrome
D)Carpal tunnel syndrome

Answer 3

C
In the lithotomy position,nerve damage,compartment syndrome,edema,and ischemia of the muscles can occur from direct pressure that can compromise the viability of the tissues.

Question 4

Nonwoven disposable drapes

A)are lightweight and moisture repellant.
B)are always more expensive than nondisposable drapes.
C)must be sterilized immediately before use.
D)are not flame retardant.

Question 5

What position is a patient placed in once the skin flaps are removed during an abdominoplasty?

A)Dorsal recumbent
B)Lithotomy
C)Frog-legged
D)Beach chair or modified sitting

Question 6

When a patient is in the lateral position,what positioning aid is used to prevent pressure on the bony prominences,blood vessels,and nerves?

A)IV bag
B)Sand bags
C)Pillow
D)Antiembolic stocking

Question 7

What equipment separates the sterile from the nonsterile areas at the head of the bed?

A)IV poles or metal bars
B)Electrosurgical unit
C)Lithotomy posts
D)Surgical headlight

Question 8

The ideal antiseptic skin cleansing agent should be

A)nonpyrogenic.
B)broad spectrum.
C)anti-inflammatory.
D)sterile.

Question 9

What type of drape contains an antimicrobial agent impregnated in an adhesive or polymeric film?

A)Antimicrobial incise drape
B)Sterile sticky towels
C)Sterile aperture drape
D)Sterile nonwoven fabric drapes

Question 10

__________ can result when prep solutions pool underneath a patient's body or extremity.

A)Chemical burns or fire
B)Contamination
C)Infections
D)Toxicity

Question 11

What potential complication can occur while a patient is in a sitting position?

A)Hypertension
B)Air embolism
C)Hypoglycemia
D)Headache

Question 12

What surgical staff person gives the approval that it is alright to move a patient to or from the OR table?

A)Circulator
B)Surgeon
C)First assistant
D)Anesthesia provider

Question 13

Why is it necessary to remove body piercings before a surgical procedure?

A)Body piercings can encourage infection or positioning injuries.
B)They don't need to be removed.
C)Only the piercings in the surgical area need to be removed.
D)Only oral piercings need to be removed.

Question 14

What patient position can compromise the respiratory function,due to the limited chest excursion that may result?

A)Sitting
B)Semi-Fowler
C)Beach chair
D)Lithotomy

Question 15

What is a common position for patients to be in for a rectal procedure?

A)Supine
B)Fowler's
C)Reverse Trendelenburg
D)Prone (Kraske)

Question 16

A safe prep solution for a facial procedure on a patient with an iodine allergy would be

A)Betadine.
B)chlorhexidine.
C)triclosan.
D)saline.

Question 17

Who has joint responsibility for placing the patient in the correct surgical position?

A)Circulator, surgeon, and anesthesia provider
B)Circulator and scrub person
C)Surgeon and anesthesia provider
D)Circulating nurse and first assistant

Question 18

How many OR personnel must be present at the bed to assist in moving an anesthetized patient?

A)One
B)Two
C)Three
D)Four

Question 19

When placing a patient's arm on an armboard,what should be avoided?

A)Hyperabduction of the arm
B)Extra padding on the armboard
C)Placing the arm at a 90° angle
D)Secure the arm to the board

Question 20

Which is a serious complication of being in the prone position?

A)Back pain
B)Neck pain
C)Blindness
D)Deafness

Question 21

When removing a patient's legs from lithotomy position,they are to be removed simultaneously and lowered slowly.

Question 22

Towels are a counted item and are generally used in the surgical incision to control bleeding.

Question 23

The umbilicus is considered a contaminated area and should be cleaned first before the main incisional site.

Question 24

Iodophors should be used with caution on persons with a known sensitivity or allergy to iodine or shellfish.

Question 25

When rolling a patient from the stretcher to the OR bed,only the shoulder and arm should be grasped when transferring.

Question 26

When a patient is prone,chest rolls are placed along the middle of the chest from the shoulder to the lower rib cage.

Question 27

While draping,it is acceptable to reach over the OR bed to drape the opposite side.

Question 28

During a one- or two-step prep,the skin is cleansed from the outside in,cleansing the incision site last.

Question 29

It is acceptable to adjust a sterile towel or drape once it has been placed in order to correctly square off the incision site.

Question 30

Nonradiopaque sponges are used during the skin prep,rather than the counted sponges from the instrument table.

Question 31

Before bringing a patient into the OR,special consideration regarding the patient's weight and type of surgical procedure needs to be taken into consideration when selecting an OR bed.

Question 32

Antiembolic stockings or sequential compression devices help prevent severe hypotension and venous pooling.

Question 33

Which may be used to secure towels to the patient's skin?

A)Glue
B)Skin adhesive
C)Towel clips
D)Pins

Question 34

Which is a method of hair removal done as close as possible to the scheduled time for the surgical procedure?

A)Scissor removal
B)Manual removal
C)Clippers
D)Waxing

Question 35

A donut is a ring shaped device used to pad and protect only the head during a surgical procedure.

Question 36

A nonsterile pneumatic tourniquet cuff is placed before the skin prep to control bleeding during the surgical procedure.

Question 37

The circulator should be nearby when the scrub person is draping in order to direct the procedure and watch for breaks in sterile technique.

Question 38

When moving an x-ray tube over a sterile field,the field must be covered with a sterile sheet,which is discarded by the circulator after use because it has become contaminated.

Question 39

A safety strap is secured across the abdomen during the procedure when the patient is in the lithotomy position.

Question 40

What piece of equipment will assist in hyperextending the neck during a procedure on the face or neck?

A)Donut head rest
B)Surgical head light
C)Stockinette roll
D)Shoulder roll

Question 41

The patient return electrode should always be placed after the patient is in position for the procedure.

Question 42

When the prone position is to be used,the patient is anesthetized and intubated in the supine position on the transport cart.

Question 43

In the supine position,the patient's occiput and cervical area are at risk for nerve and pressure injuries during a procedure.