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45 Cards in this Set

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  • Back
Which of the following is not routinely required for all pts preoperatively?
Medical history and physical
Surgical Consent
Chest X-ray
Preoperative hygiene
Chest x-ray
Why should nail polish be removed?
Pulse oximeter cannot function
When performing the preoperative shave, nicks and cuts are considered a clean wound for up to _____ minutes and the case need not be cancelled.
30 mins
When transporting a pt to the OR, in what direction should the gurney be situated?
feet first
When transporting a pt to the OR in a gurney, where should the safety strap be placed?
2" above the knees, across the thighs
When transporting a pt to the OR in a gurney, how should the pt be transported when using an elevator?
Enter elevator with pt, head first. Exit elevator feet first.
If an adult pt is illiterate, how is the consent formed signed?
pt marks an X
The ultimate responsibility of obtaining the general consent belongs to the:
Surgeon
The pt has withdrawn the general consent prior to surgery. What action should be taken?
Do not transport pt, inform surgeon
In which of the following situations will the pt not be allowed to sign consent for the surgery?
Pt is legal age
Pt received pre-op meds
Pt explained alternative tx
pt is emancipated minor
Pt received pre-op meds
A pt signs a consent for surgery but does not speak english and does not fully understand what he has signed. Surgery on the pt could constitute a liability case for:
Assault and battery
What does a general consent for authorize?
all routine treatments or procedures
A minor requires emergency surgery but the parents cannot be contacted. How is the consent secured?
2 physicians who are not the operating surgeon sign it
When using an armboard on the OR table, the most important measure is to:
Avoid hyperextension of the arm
Which of the following procedures would be performed with the pt in the lateral postion?
Suprapubic prostatectomy
Vag. Hyst
Nephrectomy
Tonsillectomy
Nephrectomy
The surgical postition frequently used for pts undergoing kidney surgery is:
Lateral
When performing the pt skin prep, the skin should be scrubbed and painted from the:
Incision site to periphery using a circulor motion
The position most commonly used for mitral valve replacement is:
Supine
The position most commonly used for tonsillectomy performed under local anesthectic is:
Fowlers
What position is commonly used for neurosurgical and some ENT procedures?
Fowlers
An anesthetized pt is moved slowly to prevent:
Cardiovascular complications
When performing an abdominal prep, the umbilicus is prepped:
Last or separately
In the lateral chest position, a sandbag or padding is placed under the chest at axillary level to:
Prevent pressure on the lower arm
In the prone position, the thorax must be elevated from the OR table to prevent:
respiratory complications
Ulnar nerve damage could result from:
Use of an unpadded arm board
Stirrups that are not padded or improperly placed on the OR table can cause pressure on the:
Peroneal nerve
If the pt is in the supine position, the circulating nurse must always confirm:
That ankles and legs are not crossed
Where are the arms in the Kraske position?
Extended above the head on angled armboards
When moving the pt from the lithotomy position, make sure to:
Lower legs together
Where should the safety belt be placed on a pt in the prone position?
2" above the knee
The femoral nerve can be damaged if:
Retractors are improperly placed during pelvic surgery
To avoid foot drop, make sure to do these 2 things
Pad foot or add table extension with padding
The best surgical position for visualization of the lower abdomen or pelvis is:
Trendelenburg
The surgical position commonly used for thyroid and gallbladder surgery is:
Reverse trendelenburg
Crossing the pt arms across the chest in the supine position may cause:
Interference with respirations
In the prone position, which nerve could be compressed against the humerus?
Radial Nerve
When positioning an anesthetized pt, supporting the head and neck is the responsibility of who?
anesthesia provider
When moving a pt with an unsplinted fracture, who is responsible for protecting the wound?
Surgeon
Which procedure is best performed with the pt in the trendelenburg position?
Cholecystectomy
Hysterectomy
Thyroidectomy
Rotator cuff repair
Hysterectomy
A reverse trendelenburg position requires the added table attachment of a/an?
Footboard
A small pad placed under the pts head in the supine position helps to relax which muscles?
The strap muscles
What position allows the best approach to the retroperitoneal area of the flank?
Lateral Kidney
How is the pt positioned for a c-section?
Supine with a bolster under right side
What device is used when placing a pt in the operative position for a thyroidectomy?
Shoulder roll
What nerve could be damaged when the pt is placed in fowler's position?
Sciatic