Deck 26: Positioning,prepping,and Draping the Patient

Question 1

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

Answer 1

True
Antiembolic stockings or sequential compression devices are used to counteract postural hypotension and decrease venous pooling in the extremities and pelvis.

Question 2

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

Answer 2

True
Nonradiopaque sponges are used during a prep.These are not counted sponges from the instrument table and should be discarded in a trash container separate from the sponge bucket.

Question 3

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

Answer 3

False
Surgical towels are traditionally used as draping material and are not routinely considered counted items.However,if one is placed in the surgical incision,it becomes an item that must be accounted for and listed in the same way that counted items are tracked.

Question 4

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

Question 5

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

Question 6

When positioning a patient on the OR bed in lithotomy position,the patient's arms and hands should be placed on the chest to prevent pressure ulcers from forming on the wrist.

Question 7

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 8

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

Question 9

The C-arm cannot be used in a surgical procedure because it is not sterile.

Question 10

A safety strap is secured across a patient while the patient is in the lithotomy position.

Question 11

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 12

Urinary catheterization is a sterile procedure.

Question 13

If x-ray films will be taken during the procedure,towel clips and staples are used to secure towels around the incision site.

Question 14

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

Question 15

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 16

Because iodophors contain iodine,they are to be used with caution on persons with a known sensitivity or allergy to iodine or shellfish.

Question 17

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

Question 18

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

Question 19

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

Question 20

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

Question 21

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

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

Question 22

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 23

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

Question 24

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 25

What is the correct sequence for prep and draping of a patient for a laparotomy?

A) Shave,clean umbilicus,prep abdomen,apply towels,apply lap sheet
B) Clean umbilicus,shave,apply towels,prep abdomen,apply lap sheet
C) Prep abdomen,clean umbilicus,apply lap sheet
D) Shave,apply towels,prep abdomen,apply lap sheet,clean umbilicus

Question 26

Nonwoven fabric disposable drapes:

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

Question 27

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 28

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

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

Question 29

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 30

The ideal antiseptic skin cleansing agent should be:

A) nonpyrogenic
B) broad spectrum
C) antiinflammatory
D) sterile

Question 31

What types of drapes contain an antimicrobial agent impregnated in the adhesive or in the polymeric film?

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

Question 32

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 33

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

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

Question 34

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

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

Question 35

A sterile plastic isolation drape can be used for which procedures?

A) Hip procedures
B) Eye procedures
C) Perineal procedures
D) Hernia repair

Question 36

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

Question 37

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

Question 38

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 39

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 40

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 41

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

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

Question 42

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 43

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) Hydrogen peroxide