Unit 4: Fullers Ch 11 Skin Prep and Draping – Flashcards

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question
Alcohol, iodophor, or chlorhexidine prep solutions should never be used ________. A) on an area that has been shaved B) in or around the ears C) in the presence of infection D) for breast reconstruction surgery
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in or around the ears
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A surgical prep is performed after the patient has been draped. A) False B) True
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False
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The purpose of draping is to provide ______________around the surgical site. A) exposure B) a wide sterile area C) warmth for the patient D) a protective barrier
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a wide sterile area
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Prior to surgery, the skin must be washed or painted with a/an ________ to reduce the number of transient and normal microorganisms to an absolute minimum. A) disinfectant B) antiseptic solution
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antiseptic solution
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A/An ________ requires a preparation boundary that encompasses the neck, shoulder of the affected side, thorax to the operating table surface, and mid-pelvic region. A) shoulder procedure B) pelvic laparoscopy C) appendectomy D) radical mastectomy
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radical mastectomy
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When alcohol is used for the surgical prep, it must be completely dry before the drapes are placed on the patient. A) True B) False
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True
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Tissue that is suspected to be cancerous must be prepped gently, using as little friction and pressure as possible. This prevents tumor cells from __________. A) causing pain to the patient B) scarring of the tissue C) skin injury D) migrating
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migrating
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For best postoperative results, the patient should shave the surgical site at least 12 hours before the procedure is scheduled. A) True B) False
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False
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The basic principles for the skin prep are based on the rules of aseptic technique and ___________________. A) vary according to part of body B) vary according to size of patient C) do not vary D) vary according to procedure
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do not vary
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During coronary artery bypass graft surgery, the saphenous vein is often removed and used to replace the coronary vessel. How is the patient prepped for this procedure? A) Only the thorax is prepped. B) It depends on the prep solution used. C) The leg and thorax are prepped at the same time. D) The leg and thorax are prepped separately, using a different setup for each site
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The leg and thorax are prepped separately, using a different setup for each site
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A surgical incision provides a portal of entry for microorganisms. A) True B) False
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True
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_____ must never be shaved because of the failure to regrow or abnormal regrowth. A) Facial hair B) Eyebrows
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Eyebrows
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Urinary catheterization is a sterile procedure. Contaminants introduced by catheterization increase the risk of ________. A) infection B) urinary retention C) mucosal abrasions D) bladder distension
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infection
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A ________ catheter is the most common catheter used during a surgical procedure for continuous drainage of the bladder. A) straight B) Foley
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Foley
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When prepping the abdomen for surgery, what should you do first? A) Start at the nipple line and work downward. B) Prep the incision site. C) Begin at sides of body and work inward. D) Clean the umbilicus with swabs, then begin at the incision site
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Clean the umbilicus with swabs, then begin at the incision site.
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Prep solutions must be warmed in a microwave unit or autoclave. A) False B) True
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False
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When draping an extremity, a/an ________ would be used on the hand or foot to isolate bacteria from the nails. A) sterile towel held with penetrating towel clamps B) drainage bag drape C) fenestrated sheet D) tube stockinette
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tube stockinette
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If an area of the drape is suspected of being contaminated, the area may be ___________. A) covered with another impervious drape B) removed by the sterile person
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covered with another impervious drape
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Surgeons use ________ to hold the towels in place when draping the patient. A) penetrating towel clamps B) Esmarch bandages C) nonpenetrating towel clamps D) surgical tape
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nonpenetrating towel clamps
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_____ removed from the patient in preparation for a craniotomy is/are considered the patient's property and should be sent with the patient following surgery. A) Bone flaps B) Specimens C) Hair D) Tissue
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Hair
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A safe prep solution for ophthalmic procedures is ________. A) iodophor B) alcohol C) chlorhexidine D) triclosan
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triclosan
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Tops of drapes are usually secured to ________. A) the edge of the back table B) an anesthesia screen C) the head of the surgical bed D) the patient's head
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an anesthesia screen
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Urinary catheterization is a sterile procedure. A) False B) True
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True
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When more than one procedure is planned during the same surgery, each site must be prepped separately, using a different preparation setup for each site. A) True B) False
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True
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Urinary catheterization is performed after surgery to empty the bladder of urine that has accumulated throughout the procedure. A) True B) False
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False
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__________ drapes are used whenever laser surgery is planned. A) Aluminum-coated B) Water-soaked
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Aluminum-coated
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Area exposed by separating the buttocks with wide adhesive tape A. perianal prep and drape B. extremity prep and drape C. head prep and drape D. abdominal prep and drape
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perianal prep and drape
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Four towels (folded cloth, disposable nonwoven material) are placed in a square to frame A. perianal prep and drape B. extremity prep and drape C. head prep and drape D. abdominal prep and drape
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abdominal prep and drape
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A tube stockinette may be used A. perianal prep and drape B. extremity prep and drape C. head prep and drape D. abdominal prep and drape
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extremity prep and drape
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Bottom of this drape may be placed in the sponge bucket A. perianal prep and drape B. extremity prep and drape C. head prep and drape D. abdominal prep and drape
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perianal prep and drape
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Created with two towels or plain draping sheets A. perianal prep and drape B. extremity prep and drape C. head prep and drape D. abdominal prep and drape
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head prep and drape
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Place a impervious drape under during prep A. perianal prep and drape B. extremity prep and drape C. head prep and drape D. abdominal prep and drape
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extremity prep and drape
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Leggings are used to cover the patient's legs A. perianal prep and drape B. extremity prep and drape C. head prep and drape D. abdominal prep and drape
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perianal prep and drape
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Prep the surrounding area first A. perianal prep and drape B. extremity prep and drape C. head prep and drape D. abdominal prep and drape
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perianal prep and drape
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A split drape may be used A. perianal prep and drape B. extremity prep and drape C. head prep and drape D. abdominal prep and drape
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extremity prep and drape
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Place a prep towel above the pubis A. perianal prep and drape B. extremity prep and drape C. head prep and drape D. abdominal prep and drape
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perianal prep and drape
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The ________ drape is used for procedures of the nose and throat. It protects the eyes during surgery and provides a sterile barrier over the head. A) extremity B) head C) lithotomy D) incise
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head
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_____ is the body's primary defense against infection. A) Hair B) Immune system C) Skin D) Hygiene
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Skin
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_____ is/are generally not removed from the surgical patient, but will require a surgeon's order if done. A) Medical alert bracelets B) Body piercings C) Makeup D) Hair
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Hair
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Only ________ are approved for use on skin and may be used for the surgical skin prep. A) disinfectants B) antiseptics
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antiseptics
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Any area that is highly colonized with microorganisms, such as a colostomy area, is prepped ________. A) according to the surgeon's preference B) with fresh sponges after the surrounding area is prepped C) according to the manufacturer's instructions on the prep solution D) from dirty area to clean area
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with fresh sponges after the surrounding area is prepped
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A cause of ________ is the normal skin bacteria of the patient and the surgical team members being introduced into the incision. A) chemical burns B) surgical site infections C) desiccation D) strike-through contamination
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surgical site infections
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During leg prep, the limb must be elevated by an assistant or placed in a ___________ leg holder attached to the operating table. A) vertical B) horizontal
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vertical
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____ result/results when preparation solutions are allowed to pool underneath the patient. A) Contaminated areas B) Chemical burns C) Nosocomial infections D) Residual activity
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Chemical burns
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When removing the drapes from the patient, pull them slowly away from the patient, starting at the patient's head and proceeding downward. A) False B) True
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True
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Although it normally is nonirritating to tissue, first-degree and second-degree chemical burns can result from improper prep technique or if the patient is sensitive to ______________. A) alcohol B) iodine
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iodine
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Urinary catheterization A. during skin prep B. before skin prep C. after skin prep
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before skin prep
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Clip hair A. during skin prep B. before skin prep C. after skin prep
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before skin prep
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Position patient A. during skin prep B. before skin prep C. after skin prep
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before skin prep
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Blot dry with a sterile towel A. during skin prep B. before skin prep C. after skin prep
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during skin prep
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Place surgical drape on the patient after the skin prep A. during skin prep B. before skin prep C. after skin prep
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after skin prep
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Place towels around surgical site A. during skin prep B. before skin prep C. after skin prep
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after skin prep
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Administer anesthesia A. during skin prep B. before skin prep C. after skin prep
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before skin prep
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Clean the umbilicus A. during skin prep B. before skin prep C. after skin prep
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during skin prep
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Attach top of drape to anesthesia screen A. during skin prep B. before skin prep C. after skin prep
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after skin prep
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Wash gross contamination off A. during skin prep B. before skin prep C. after skin prep
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before skin prep
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The surgical skin prep is performed ________ the patient is anesthetized. A) after B) before
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after
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Surgical skin prep is not a sterile procedure. A) False B) True
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False
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If the patient is to be placed in the prone position for a surgical procedure, ________ must be performed before the patient is positioned. A) the surgical prep B) urinary catheterization
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urinary catheterization
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When draping the patient for surgery, once a towel or drape has been placed on the patient, ________. A) it must be secured B) it may be moved once C) the skin prep is then performed D) do not shift or move it
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do not shift or move it
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