Deck 19: Surgical Skin Preparation and Draping

Question 1

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) The leg and thorax are prepped at the same time.
B) It depends on the prep solution used.
C) The leg and thorax are prepped separately, using a different setup for each site.
D) Only the thorax is prepped.

Answer 1

C

Question 2

Only ________ are approved for use on skin and may be used for the surgical skin prep.

A) antiseptics
B) disinfectants
C) sterile solutions
D) betadine solutions

Answer 2

A

Question 3

When the skin is prepped correctly the area is antiseptically cleansed in what manner?

A) Incision site to periphery
B) Periphery to incision site
C) Top of incision to bottom of incision line
D) Bottom of incision line to top of incision line

Answer 3

A

Question 4

Any area that is highly colonized with microorganisms, such as a colostomy area, is prepped ________.

A) from dirty area to clean area
B) according to the surgeon's preference
C) with fresh sponges after the surrounding area is prepped
D) according to the manufacturer's instructions on the prep solution

Question 5

________ must never be shaved because of the failure to regrow or abnormal regrowth.

A) Eyebrows
B) Facial hair
C) Arm hair
D) Pubic hair

Question 6

________ result(s) when preparation solutions are allowed to pool underneath the patient.

A) Nosocomial infections
B) Contaminated areas
C) Residual activity
D) Chemical burns

Question 7

A(n) ________ requires a preparation boundary that encompasses the neck, shoulder of the affected side, thorax to the operating table surface, and mid-pelvic region.

A) appendectomy
B) radical mastectomy
C) pelvic laparoscopy
D) shoulder procedure

Question 8

The most common prep solution for ophthalmic procedures is _______________.

A) chlorhexidine
B) duraprep
C) dilute povidone-iodine
D) alcohol

Question 9

When prepping the abdomen for surgery, what should you do first?

A) Prep the incision site.
B) Start at the nipple line and work downward.
C) Clean the umbilicus with swabs, and then begin at the incision site.
D) Begin at sides of body and work inward.

Question 10

A ________ catheter is the most common catheter used during a surgical procedure for continuous drainage of the bladder.

A) Foley
B) straight
C) intravascular
D) suprapubic

Question 11

________ is the body's primary defense against infection.

A) Skin
B) Immune system
C) Hair
D) Hygiene

Question 12

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) lithotomy
B) extremity
C) head
D) incise

Question 13

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) desiccation
C) strike-through contamination
D) surgical site infections (SSI)

Question 14

Before surgery, the skin must be washed or painted with a(n) ________ to reduce the number of transient and normal microorganisms to an absolute minimum.

A) disinfectant
B) antiseptic solution
C) sterile solution
D) hand soap

Question 15

The purpose of draping is to provide ______________ around the surgical site.

A) exposure
B) a wide sterile area
C) a protective barrier
D) warmth for the patient

Question 16

Urinary catheterization is a sterile procedure. Contaminants introduced by catheterization increase the risk of _____________.

A) urinary retention
B) infection
C) bladder distension
D) mucosal abrasions

Question 17

Surgeons use ________ to hold the towels in place when draping the patient.

A) nonpenetrating towel clamps
B) surgical tape
C) penetrating towel clamps
D) Esmarch bandages

Question 18

_____________ drapes are used whenever laser surgery is planned.

A) Water-soaked
B) Aluminum-coated
C) Flame retardant
D) light-reflecting

Question 19

_____________ is/are generally not removed from the surgical patient but will require a surgeon's order if it needs to be done.

A) Body piercings
B) Hair
C) Makeup
D) Medical alert bracelets

Question 20

When draping the patient for surgery, once a towel or drape has been placed on the patient, ________________.

A) do not shift or move it
B) it may be moved once
C) it must be secured
D) the skin prep is then performed

Question 21

Uncontrolled or unmonitored systems create a risk of __________.

A) allergies
B) chemical burn
C) fire
D) thermal burn

Question 22

Surgical prep agents can cause skin irritation, rash, or other __________.

A) allergies
B) chemical burn
C) fire
D) thermal burn

Question 23

Catheterization of a female surgical patient requires the ______________ position.

A) supine
B) prone
C) lithotomy
D) knees slightly flexed

Question 24

Alcohol and alcohol-based prep solutions are volatile and flammable. When alcohol solution or volatile fumes come in contact with heat sources, they can easily cause __________.

A) allergies
B) chemical burn
C) fire
D) thermal burn

Question 25

Serious _________ can occur when prep solutions are allowed to pool under the patient during surgery.

A) allergies
B) chemical burns
C) fires
D) thermal burns

Question 26

____________ are folded in a specific way before sterilization so that they can be positioned over the operative site and unfolded in a way that prevents contamination.

A) Prep
B) Gowns
C) Drapes
D) All of the above

Question 27

Selection of the correct catheter is based on the patient's __________.

A) age, mental development, and sexual preference
B) age, size, and the type of procedure
C) age, size, and gender
D) size, grade in school, and gender

Question 28

A retention catheter with a small, inflatable balloon at the tip is called a ______ catheter.

A) Robinson
B) Malcot
C) Fogarty
D) Foley

Question 29

During the cleansing process, the surgeon removes all foreign material and trims away devitalized tissue called __________.

A) trauma
B) cardiovascular
C) autograft
D) debridement

Question 30

______________ is a type of tissue that is removed from one site on the patient and grafted to another site.

A) Trauma
B) Cardiovascular
C) Autograft
D) Debridement

Question 31

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Before skin prep
b.After skin prep
c.During skin prep
Blot dry with a sterile towel

Question 32

Which of the following statements is true regarding the technique for placing a Foley catheter?

A) The assisting hand does not contact sterile supplies, including the catheter itself.
B) Both hands must remain sterile for the procedure.
C) If the catheter is placed before the prep has been done, it is not done using aseptic technique.
D) The insertion hand does not contact sterile supplies.

Question 33

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Before skin prep
b.After skin prep
c.During skin prep
Administer anesthesia

Question 34

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Before skin prep
b.After skin prep
c.During skin prep
Clip hair

Question 35

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
C) ignored if 1/2inch away from incision site
D) removed by a nonsterile person

Question 36

____________ wounds are almost always contaminated because they are caused by external forces and often occur in environments that are mildly or grossly contaminated.

A) Trauma
B) Cardiovascular
C) Autograft
D) Debridement

Question 37

The patient is ready for skin prep and draping only after __________.

A) induction of general anesthesia and intubation
B) the "time out"
C) the circulator has finished the required surgical paperwork
D) the surgeon inspects the patient's surgical site skin

Question 38

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Before skin prep
b.After skin prep
c.During skin prep
Wash off gross contamination

Question 39

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Before skin prep
b.After skin prep
c.During skin prep
Place towels around surgical site