Deck 19: Surgical Instrumentation

Question 1

A self-retaining retractor is held by at least two people to retract and provide a well-viewed surgical site.

Answer 1

False
Self-retaining retractors are placed into the wound and kept open by ratchets or spring locks,rather than surgical team members.

Question 2

Which statement regarding handing instruments at the sterile field is correct?

A)Pass instruments around the incision.
B)Lightly place the instrument into the surgeon's hand.
C)Pass instruments directly over the incisional area.
D)Anticipate the surgeon's needs before being asked for an instrument.

Answer 2

A
To prevent possible injury,pass instruments around the incisional area rather than over it.

Question 3

At the end of the surgical procedure,in what solution should the instruments be soaked?

A)Hydrogen peroxide
B)Sterile distilled water
C)Saline solution
D)Tap water

Answer 3

B
Instruments that have been wiped can be immersed in a basin of sterile demineralized distilled water,not saline solution.The sodium chloride in saline solution is corrosive and can damage the surface of the instrument.Bloody instruments should not soak in a basin of solution for a prolonged period.

Question 4

When using an electrical instrument on the field,the scrub person needs to have available what item to cool the bone being worked on?

A)Ice packs
B)Saline solution in a syringe
C)Antibiotic soaked sponges
D)Frozen 4 ´ 4 sponges

Question 5

What is not a valid function of a clip applier?

A)Used as an end-to-end anastomosis connector
B)Used to mark tissue
C)To occlude blood vessels
D)To close or occlude small lumens of tubes

Question 6

What type of needle holder has jaws eliminating,twisting,and turning of the suture?

A)Smooth jaws
B)Crosshatched
C)Webster
D)Tungsten carbide

Question 7

What type of suctioning is done using a syringe and needle?

A)Suctioning with a Yankauer
B)Aspiration
C)Autotransfusion
D)Using a Poole suction device

Question 8

What type of forceps might be used when suturing the epidermis closed?

A)Bayonet forceps
B)Rat-toothed forceps
C)Adson forceps with teeth
D)Allis forceps

Question 9

When using any type of power equipment,what must be checked before handing up any instrument?

A)Make sure the instrument is in "on" mode and ready to be used.
B)The instrument must be in "off" mode.
C)Check to make sure the instrument is in the "safety" mode.
D)Make sure the instrument is unassembled and in the "on" mode.

Question 10

If the surgeon or assistant is on the same side of the operating bed and to the right,which hand should the scrub pass with?

A)The right hand
B)Let the surgeon take the instrument from the mayo stand
C)Pass across the field
D)Pass with your left hand

Question 11

Which angled suction device is best used in the mouth or to suction large quantities of fluid?

A)Poole
B)Frazier
C)Yankauer
D)Double-lumen

Question 12

Which instrument can be used to examine a cavity's interior?

A)Yankauer
B)Speculum
C)Tungsten needle holder
D)Bayonet forceps

Question 13

What is the main purpose of staplers?

A)To staple the nurses paper work
B)Close the end of a hollow or large organ.
C)Hold a cavity open.
D)Create a working space.

Question 14

Which type of tissue forceps are used on delicate tissue?

A)Rat toothed forceps
B)Thumb forceps or smooth pick-ups
C)Babcock forceps
D)Lahey forceps

Question 15

Which is a responsibility of the circulating nurse before the start of a procedure?

A)Drape the Mayo stand and back table
B)Inspect sterile instruments for imperfections and condition
C)Count instruments
D)Assemble the scalpel blade in the proper handle

Question 16

Microinstruments are made of a shiny finish in order to visualize them better under the microscope.

Question 17

Which is the most commonly used instrument to clamp blood vessels?

A)Lahey forceps
B)Tenaculum
C)Hemostat
D)Rongeur

Question 18

A number 10,11,or 15 blade is the most commonly used blade to make initial skin incisions.

Question 19

Which is a type of dissector that might be used in an orthopedic surgical procedure?

A)Bone cutter
B)Snare
C)Curette
D)Adson forceps

Question 20

Which is an example of a cutting instrument?

A)Kelly clamp, Allis forceps
B)Jaw-tipped scissors, scalpel
C)Forceps, hemostat
D)Uterine sound, bayonet forceps

Question 21

It is acceptable to use a hemostat to load a blade onto a knife handle.

Question 22

Manual retractors come in different shapes and sizes.They are held by the first or second assistant.

Question 23

The maximum length of most microinstruments is 4 inches (100 mm).

Question 24

Wait until the end of the procedure to wipe and clean instruments of blood or bodily fluids.

Question 25

All power surgical instruments have complex assemblies of gears,shafts,and seals.Powered instruments decrease the fatigue from manual instruments.

Question 26

A trocar is an assembly instrument used to cut through tissue for access to fluid or a body cavity.