Deck 57: Surgical Asepsis and Assisting With Surgical Procedures

Question 1

A wet instrument pack is automatically considered contaminated.

Answer 1

True

Question 2

Wet steam in an autoclave can be caused by the placement of cold instruments in a hot chamber.

Answer 2

True

Question 3

Chemical sterilization requires immersion of the items in the chemical mixture for a minimum of 24 hours.

Answer 3

False

Question 4

Infection can cause death in some circumstances.

Question 5

Both the patient's and the practitioner's eyes must be protected during laser surgery.

Question 6

Sterile team members should always face one another.

Question 7

An autoclave pack with a small tear in the wrapper may be stored for up to 2 weeks.

Question 8

No harm is done if a sterile field gets wet.

Question 9

All hinged instruments are wrapped in the open position to allow full steam penetration of the joint.

Question 10

The medical assistant must never turn his or her back on a sterile field or wander away from it.

Question 11

When autoclaving, place a gauze sponge around the tips of sharp instruments to prevent them from piercing the wrapping material.

Question 12

Nonsterile individuals should never reach over a sterile field.

Question 13

When using sterilizing bags, insert the grasping end of the instrument last.

Question 14

Sterile technique should be used for venipuncture.

Question 15

The medical assistant should always keep the sterile field in view.

Question 16

After autoclaving, a change in the color of the dye of the autoclave tape indicates that the pack is sterile.

Question 17

Unwrapped items in an autoclave require more time for sterilization than wrapped items.

Question 18

Techniques for medical asepsis create a sterile environment.

Question 19

Air currents carry bacteria, so body movements and talking over a sterile field should be kept to a minimum.

Question 20

Plastic-wrapped autoclave packs are considered sterile for up to 6 months.

Question 21

Complete destruction of all forms of microbial life.

A)Disinfection
B)Germicide
C)Sanitization
D)Sterilization

Question 22

A large, gaping wound that must heal from the bottom of the wound outward heals by first intention.

Question 23

The medical assistant should wear clean gloves when decontaminating the postsurgical room.

Question 24

Which statement is not true about informed consent for surgery?

A)The medical assistant is responsible for obtaining the patient's consent to treatment.
B)The patient must understand the potential risks and benefits of the surgery.
C)The patient must understand the possible risks of any alternative treatment.
D)The patient cannot give consent if he or she has received preoperative medication.

Question 25

Suppuration can cause problems with wound healing.

Question 26

Reducing the number of microorganisms to a safe level.

A)Sanitization
B)Disinfection
C)Sterilization

Question 27

Which of the following is/are true about the autoclave process?

A)Steam simultaneously heats and wets the objects being autoclaved.
B)When the cycle is finished and the chamber has cooled, microorganisms have been destroyed.
C)The mechanism of action is steam under pressure.
D)Both A and C are true.
E)All of the above are true.

Question 28

Living organisms that can be seen only with a light microscope.

A)Microorganisms
B)Germicides
C)Macroorganisms

Question 29

A thick-walled, dormant form of bacteria that is very resistant to disinfection measures.

A)Edema
B)Spore
C)Microorganisms
D)Pathogens

Question 30

Disease-causing microorganisms.

A)Microorganisms
B)Pathogens
C)Spores
D)Normal flora

Question 31

A bandage must be applied with sterile technique.

Question 32

Generally, what is the shelf-life of a sterilized pack?

A)6 months
B)3 months
C)1 year
D)28 days

Question 33

Presence of pus-forming organisms in the blood.

A)Contamination
B)Pathogen
C)Pyemia
D)Edema

Question 34

Which of the following guidelines should be followed when unloading an autoclave?

A)Stand behind the door when opening it to prevent accidental steam burns.
B)Slowly open the door only a crack, allowing the items to cool for 15 to 20 minutes before removing them.
C)Do not place packs on cold surfaces.
D)All of the above are correct guidelines.

Question 35

Property by which a substance can pass or soak through.

A)Contamination
B)Asepsis
C)Disinfection
D)Permeability

Question 36

Having a rapid onset and severe symptoms.

A)Chronic
B)Acute
C)Latent

Question 37

Erythema or edema at the surgical site without the presence of fever does not have to be reported to the physician.

Question 38

The recommended temperature for sterilization in an autoclave is:

A)121° to 123° C
B)98.6°
C)100.4° F
D)37.6° C

Question 39

The invasion of body tissue by pathogens, which proliferate and damage tissues.

A)Contamination
B)Infection
C)Spores
D)Germicides

Question 40

____________ is the complete destruction of organisms on instruments or equipment that will enter the patient's body.This technique is mandatory for any procedure that invades the body's skin or tissues, such as surgery.

A)Medical asepsis
B)Surgical asepsis
C)Sterilization
D)Disinfection

Question 41

__________ is the destruction of microbes after they leave the body.

Question 42

In the __________ phase of wound healing, fibrin is deposited at the site and clotting begins.

Question 43

A(n) __________ wound is infected with pathogens.

Question 44

A(n) __________ is a chemical substance used during skin preparation for surgery that either kills or reduces the number of microorganisms on the skin.

Question 45

A(n) __________ occurs when a nonpenetrating wound damages blood vessels.

Question 46

In __________, a high-frequency current is used to cut through tissue and seal blood vessels.

Question 47

If correctly done, autoclaving destroys even __________, the dormant form of bacteria.

Question 48

A(n) __________ is a wound that appears jagged and irregular and is usually caused by trauma.

Question 49

__________ is the complete destruction of all forms of microbial life.

Question 50

Autoclave wrapping material must be __________ so that steam can circulate around the instruments.

Question 51

Sterilization __________ placed in the center of a large pack are the best indicators of proper sterilization in an autoclave.

Question 52

__________ occurs when a nonsterile item either crosses over or comes in contact with a sterile field.

Question 53

A(n) __________ is a sterile covering that is placed directly over a wound.

Question 54

A(n) __________ is early scar tissue formation that appears pale, contracted, and firm.

Question 55

Very low temperatures are used in __________ to destroy tissue by freezing it on contact.

Question 56

__________ healing occurs with a clean surgical cut and wound edges that approximate.

Question 57

In the __________ phase of wound healing, collagen closes the gap between tissues and scar tissue forms.

Question 58

__________ are disease-causing microorganisms.

Question 59

A wound usually caused by an accident that results in tearing or separation of tissues is called a(n) __________.

Question 60

A brush burn is an example of a(n) __________.

Question 61

Describe the personal protective equipment used for autoclave procedures.

Question 62

With __________ healing, a wound heals by granulation from the bottom of the wound outward.

Question 63

Explain the preoperative instructions for a patient having surgery.

Question 64

Define sanitization, disinfection and sterilization.Include in your answer how each is performed.

Question 65

Define the three basic autoclave cycles.

Question 66

__________ can result if a bandage is applied too tightly.

Question 67

Describe the medical assistant's role during laser surgery.

Question 68

Outline the rules for setting up and maintaining a sterile field.

Question 69

What rules must be followed for wrapping an instrument for the autoclave?

Question 70

Wound __________ occurs when the edges of a repaired wound or surgical site separate or rupture.