Deck 37: Intraoperative Care

Question 1

The _____________________ is a "sterile" team member and provides the surgeon with instruments and supplies,disposes of soiled sponges,and accounts for sponges,sharps,and instruments on the surgical field.

Answer 1

scrub nurse/technician
The scrub nurse/technician is a "sterile" team member and provides the surgeon with instruments and supplies,disposes of soiled sponges,and accounts for sponges,sharps,and instruments on the surgical field.

Question 2

What should the nurse do when performing surgical hand washing?

A) Keep the hands below the elbows
B) Apply surgical gloves before the scrub
C) Scrub for at least 2 to 3 minutes with an antimicrobial
D) Dry the hands and arms, starting at the elbow and moving toward the fingers

Answer 2

Scrub for at least 2 to 3 minutes with an antimicrobial

Question 3

Which of the following is an appropriate sterile technique for the operating room?

A) Keep the hands below the waist
B) Tuck the hands under the axilla
C) Use sterile gloved hands to move a sterile drape under a table
D) Have anyone who is unscrubbed stay at least 1 foot away from the sterile field

Answer 3

Have anyone who is unscrubbed stay at least 1 foot away from the sterile field

Question 4

The surgeon is about to finish surgery and requests a sponge count.Who would normally perform this task? (Select all that apply.)

A) Scrub nurse
B) Registered nurse first assistant
C) Circulating nurse
D) Certified registered nurse anesthetist

Question 5

Through the use of an antimicrobial agent and sterile brushes or sponges,which of the following occurs? (Select all that apply.)

A) Removes debris and transient microorganisms from the nails, hands, and forearms
B) Reduces the resident microbial count to a minimum
C) Sterilizes the skin
D) Inhibits rapid/rebound growth of microorganisms

Question 6

Who of the following may assume the role of circulating nurse?

A) An registered nurse (RN)
B) A licensed practical nurse (LPN)
C) A certified surgical technologist (CST)
D) A licensed nursing assistant

Question 7

A ____________________ requires knowledge of the principles of aseptic technique,self-discipline,good communication skills to identify,address,and correct any breaks in sterile technique,and the maturity to overcome personal preferences.

Question 8

What is the role of the RNFA?

A) Keep the sterile field orderly
B) Use surgical instruments and sutures
C) Gown and glove the surgeons and assistants
D) Perform sponge, sharps, and instrument counts

Question 9

Recent research indicates that to prevent surgical site infection (SSI),the surgeon:

A) Must wash hands for a minimum of 15 minutes with soap and water
B) Must use alcohol hand scrub for 15 minutes
C) May use alcohol combined with chlorhexidine gluconate hand scrubs
D) Must use a combination of soap and alcohol as a scrub

Question 10

The scrub nurse is washing her hands in preparation for a surgical procedure.As she is finishing,the scrub nurse accidentally touches the faucet with one hand.What should the scrub nurse do then?

A) Apply sterile gloves
B) Apply a sterile gown
C) Apply a sterile mask
D) Wash her hands

Question 11

Which of the following procedures should the nurse follow when putting on a sterile gown and performing closed gloving?

A) Open the sterile gown pack on a sterile surface
B) Hold the gown close to the body before applying
C) Have the circulating nurse tie the gown at the hip
D) Keep the hands inside the sleeves of the gown until the gloves are applied

Question 12

Which of the following are sources of contamination in the operating room? (Select all that apply.)

A) A wristwatch
B) Chipped nail polish
C) Artificial fingernails
D) Abrasions on the hands
E) None of above

Question 13

The _______________ phase begins when the patient enters the operating room suite and ends with admission to the postanesthesia care unit (PACU).

Question 14

If any question arises about the sterility of an item,the item is ___________.

Question 15

Which of the following is true about the circulating nurse's primary responsibilities?

A) She is a "sterile" member of the surgical team
B) She provides the surgeon with instruments
C) She is a "nonsterile" member of the surgical team
D) She performs delegated medical functions or skills

Question 16

The consequences of double gloving during surgery include which of the following? (Select all that apply.)

A) Decreased need for hand washing
B) Decreased risk of exposure to blood-borne pathogens
C) Increased perforations to the innermost glove
D) Decreased risk for surgical wound infection

Question 17

Who of the following can assume the role of the scrub nurse/assistant? (Select all that apply.)

A) An RN
B) An LPN
C) A CST
D) A licensed nursing assistant

Question 18

The ______________ is an RN who is the charge nurse in the room.

Question 19

Which of the following are principles of sterile procedure? (Select all that apply.)

A) Gowns are sterile from the chest and shoulder to table level
B) Sterile persons must keep hands in view and above the waist and below the neck
C) Sterile persons must fold arms across chest with hands tucked into axillary region
D) Unscrubbed persons must stay at least 6 inches away from the sterile field

Question 20

The ______________________ is a nurse with advanced education who assists the surgeon with the surgical procedure,performing a combination of nursing and delegated medical functions and/or skills.

Question 21

The _______________ has been the traditional method for surgical asepsis.