Exam 49: Surgical Supplies and Instruments

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Which antiseptic is the most effective for a surgical hand scrub or patient skin preparation for surgery?

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E

Research indicates that chlorhexidine topical (Hibiclens), Triseptin, gluconate products (Triseptin or Hibiclens), and povidone-iodine (Betadine) are safe and effective antiseptics. Research also shows that the use of an alcohol-based hand rub is not as effective as an extensive surgical scrub done before sterile gloves are applied to limit bacterial contamination of the hands during a surgical procedure.

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C

Describe the general purpose of sutures. What characteristics should they have?

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The primary purpose of a suture is to hold the edges of a wound together until natural healing occurs. A suture may also be used as a ligature, which is a strand of suture material used to tie off a blood vessel or to strangulate tissue. If a ligature is used to tie off an internal tubular structure, it must be permanent or must last long enough for the structure itself to disintegrate. The ideal suture material:
•Must be easy to handle and must make a secure knot
•Must not induce a localized tissue reaction and must be nonallergenic
•Must have adequate strength without cutting through tissue
•Must be a material that can be sterilized

Which of the following is a smooth-tipped instrument that is used to insert packing into or remove objects from the nose and ear?

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This instrument has a fine tip for retrieval of foreign objects.

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Which of the following catheters is designed to allow it to navigate past obstructions in the urinary tract, such as a swollen prostate in men?

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Which of the following is used as a diluent for medications?

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____________, which resemble gears, have three or more positions and are located just below the ring handle of an instrument so that the instrument can be locked in a particular position.

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Local anesthetics with epinephrine are not recommended for use in suturing a finger laceration.

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The ridged teeth on the inner surface of the tip of some instruments are called __________. They help prevent tissue from slipping out of the jaws of the instrument.

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A(n) ________ is a metal probe that is inserted into or passed through a catheter, needle, or tube to clear the equipment of secretions or to help pass it into a body orifice.

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Sterile technique does not have to be followed in the preparation of a site for surgery.

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Hydrogen peroxide is the preferred antiseptic for skin preparation before surgery.

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This instrument tip has a groove or hook to slide under sutures.

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Placenta forceps are used to remove tissue from the uterus.

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Local anesthesia can last as long as 5 hours.

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Sterile ________ forceps are used to arrange items on a sterile tray.

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The jaws of this instrument are shorter and look stronger than hemostat jaws.

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Which of the following gynecologic instruments is used to remove polyps, secretions, and bits of placental tissue?

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These instruments have valves that can be spread to facilitate viewing.

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