Which special population is most likely to require a surgical procedure due to osteoporosis?
geriatric patients
For most surgical cases, what is the ideal time to begin assembly and testing of operating room equipment?
during the preoperative phase
When draping the patient for a surgical procedure, the surgical technologist should
protect the gloved hand by grasping the edge of the drape forming a cuff as the drape is opened.
During a coronary artery bypass graft, cannulas are inserted into the right atrium, vena cava, and aorta and connected to the cardiopulmonary bypass machine. What is the main function of the cardiopulmonary bypass machine during the surgical procedure?
to mechanically circulate and oxygenate the blood for the body while bypassing the heart and lungs
Which of the following special populations requires an increase of operating room temperature before entry?
newborn pyloroplasty patient
The most important patient safety measure for the use of electrocautery is application of the grounding pad. Where is the grounding pad placed?
over the thigh
A baby is delivered 3 weeks premature and requires additional hospitalization to treat a condition called jaundice. Why does this condition commonly occur in newborns?
The liver is not mature enough to remove bilirubin from the bloodstream.
Which of the following describes the correct technique when the technologist is using sterile towels to outline the operative site?
The first towel is placed on the side closest to the technologist
While draping the patient for an umbilical hernia, the technologist placed the second towel too proximal to the umbilicus. What should the technologist do next?
Remove the misplaced towel and place a new towel in the correct position
What is the range of tourniquet pressure for the upper extremity to create a bloodless field?
250-300 mmHg
To ensure the patient is undergoing the correct procedure, what must be done before an incision is made?
Request a time out.
A 65-year-old male patient is scheduled for a right total hip arthroplasty. The pre-operative review of his laboratory results indicate that his prothrombin time (PT) and partial thromboplastin time (PTT) lab values are slightly elevated above the normal limit.
What special consideration should the surgical technologist be prepared for during the surgical procedure?
Hemostatic agents are needed to control excessive bleeding
A 51-year-old man was seen in the doctor's office complaining of rectal bleeding for several days during bowel movements. A fecal occult blood test indicated microscopic traces of blood in the stool and a colonoscopy was scheduled for the next day. What position will the patient be placed in to begin the surgical procedure?
lateral
In order to ensure the safety of the patient in the reverse Trendelenburg position, what table attachment must be added and secured?
footboard
What type of injury can occur if the patient's body shifts or slides across a high friction surface, such as the operating room table, during a surgical procedure
shearing injury
What type of sterile tubular drape would be used to cover the extremity of an adolescent female patient undergoing an excision of a ganglion cyst from the right wrist?
4-inch impervious stockinette
When the patient is in the lithotomy position, the buttocks are
even with the table edge.
Pre-operative preparation of the patient with special needs is essential to a positive surgical outcome. A patient from Afghanistan who speaks no English refuses to remove personal head or face covers. What type of need must the surgical technologist address with this patient?
psychosocial
When moving a patient with a comminuted fracture of the hip, who is responsible for maintaining traction on the leg as the patient is moved?
surgeon
The main rationale for gently prepping the surgical site or completely eliminating prep of the surgical site on a patient who is having a breast biopsy is to
avoid dispersing cancer cells that may be present.
The electrodes to connect the patient to the electrocardiograph unit are color coded. What color is the electrode connected to the patient's left arm?
black
Lithotomy stirrups inappropriately adjusted or pressure points inadequately padded can cause post-operative foot drop due to pressure on the
...
Which of the following positions shifts the internal viscera away from the diaphragm to provide for greater exposure during an open hiatal hernia repair?
peroneal nerve
. When arranging equipment for a surgical procedure, what is the minimum distance unsterile equipment must be positioned away from the sterile field to maintain integrity?'
12 inches
What safety measure should be used to protect the patient's ulnar nerve when the arms are positioned on arm boards?
Position the arms in padded elbow protectors.
An open prostatectomy for excision of the prostate gland from the prevesical space at the bladder neck will be performed. What will be the patient position on the operating room table and what incisional approach will the surgeon most likely use?
supine, retropubic
After being transferred and centered on the operating room bed, the conscious surgical patient is covered with a blanket. The NEXT task of the operative team is to
secure the safety strap halfway between the knees and hips
The surgeon decides to position the patient lateral and raise the area between the twelfth rib and iliac crest horizontally. Which specific supply, table attachment, or feature must be applied to accomplish this?
kidney elevator, table flexion Select answer B
Patients with special needs often present challenges for the surgical team. What special consideration should the operating room staff be prepared for when moving an obese patient from the stretcher to the operating room table?
Extra personnel will need to assist in the transfer to prevent injury to the patient and staff.
Which of the following table attachments should be available when the patient is placed in the Trendelenburg position? Select answer A padded shoulder braces
padded shoulder braces
Knowing the incisional approach used for esophageal hiatal hernia repair, which position will the surgical technologist prepare for draping?
supine
Before the patient is transferred to the operating room table, the table is positioned dependent upon the surgeon's position and the surgical procedure. Before the table is locked in place, which of the following must the technologist consider FIRST in order to orient the table correctly?
orientation of the overhead lighting fixture
Which of the following is the best choice to cover the operative site during a kidney surgery?
transverse lap sheet
To position the patient in the prone position, what additional material or equipment is needed to keep the abdomen uncompressed?
body rolls, Wilson frame
To best prevent cross contamination from the perineal and anal areas into the surgical wound, which of the following is used in major orthopedic surgery before the surgical prep
an adherent U-drape
A universal protocol of the National Patient Safety Goals that must be followed by all Joint Commission-accredited organizations who perform surgical procedures is to
conduct a surgical pause or time out immediately before starting the procedure to ensure correct patient, procedure, and site.
Which of the following statements about Foley catheter insertion is correct?
Sterile technique is required during this procedure
A patient diagnosed with choanal atresia is in what special needs population?
newborn
The most important factor in patient transfer from the gurney to the operating room table is
to obtain asistance
A 21-year-old male patient has been involved in a motorcycle accident. After being taken to the emergency department at the hospital, the patient was diagnosed with a compound fracture of his left femur. What is the time frame for performing an operative procedure on this patient?
within the first 5 to 6 hours after injury to prevent the risk of infection