Chapter 24: Surgical Supplies and Instruments Test Bank Kinn’s The Clinical Medical Assistant, 14th Edition Niedzwiecki

Chapter 24: Surgical Supplies and Instruments Niedzwiecki: Kinn’s The Clinical Medical Assistant, 14th Edition MULTIPLE CHOICE 1. Surgical instruments generally are classified according to use. Which is not a classification for instruments? a. Cutting b. Grasping c. Restabilizing d. Probing and dilating ANS: C Surgical instruments generally are classified according to their use; most belong to one of four groups:  Cutting  Grasping  Retracting  Probing and dilating REF: p. 544 OBJ: 3. Outline the general classifications of surgical instruments. TOP: Patient Care: Instruments MSC: CAAHEP: I.P.8 | ABHES: 8.e 2. Which antiseptic is the most effective for a surgical hand scrub or patient skin preparation for surgery? a. Hydrogen peroxi de b. Hibiclens c. Isopropyl alcohol d. Povidone -iodine e. Hibiclens and povidone -iodine ANS: E Research indicates that chlorhexidine (Hibiscrub or Hibiclens) and povidone -iodine solution (Betadine) are safe, effective antiseptics. REF: p. 542 OBJ: 1. Describe typical solutions and medications used in minor surgical procedures. TOP: Infection Control: Sanitation/Disinfect/Sterilize MSC: CAAHEP: III.C.3 | ABHES: 8.a 3. Choose the smallest diameter of a suture strand. a. 0 b. 5-0 c. 5 d. 1-0 ANS: B The diameter of the suture strand determines its size; the smaller gauges are numbered below 0 (aught), and the larger gauges are numbered above 0. REF: p. 552 OBJ: 4. Identify drapes and different types of sutures and surgical needles. TOP: Patient Care: Prepare patient and assist Physician Exams/Treatments/Specialty Procedures MSC: CAAHEP: I.P.8 | ABHES: 8.e 4. How should instruments be handled after the surgery is complete? a. Place heavier instruments at the bottom of a collection basin. b. Keep all instruments locked to prevent accidental injury. c. Wait until any blood on the instrument has dried before cleaning. d. Use a detergent with a neutral pH that creates a high level of suds. e. Place heavier instruments at the bottom of a collection basin and use a detergent with a neutral pH that creates a high level of suds. ANS: A After a surgical procedure, contaminated instruments should be placed in a basin of disinfectant solution with heavier instruments on the bottom and lighter, more delicate instruments on top. Each instrument is unlocked before immersion in the chemical decontaminant to permit cleansing of the entire surface area. Blood and other coagulable substances are never allo wed to dry on an instrument, because they then will be difficult to remove. It is best to use a detergent that has a neutral pH and low suds and can be rinsed off easily. REF: p. 554 OBJ: 5. Describe the care and handling of surgical instruments. TOP: Infection Control: Sanitation/Disinfect/Sterilize | Patient Care: Instruments MSC: CAAHEP: III.P.4 | ABHES: 8.a 5. The recommended method for cleaning sharp instruments is to: a. use an ultrasonic cleaner. b. wear appropriate PPE. c. use the proper concentration of disinfectant. d. rinse instruments with sterile water before sterilizing. ANS: A Mechanical washing, such as with an ultrasonic device, can be used for most instruments and is an especially good method for preventing sta ff injuries. REF: p. 554 OBJ: 5. Describe the care and handling of surgical instruments. TOP: Infection Control: Sanitation/Disinfect/Sterilize | Patient Care: Instruments MSC: CAAHEP: III.P.4 | ABHES: 8.a 6. This instrument tip has a groove or hook to slide under sutures. a. Hemostic forceps b. Suture scissors c. Probe tip d. Needle holders ANS: B Suture removal scissors have a grooved tip that can slide under the suture mater ial without traumatizing the wound. REF: p. 544 OBJ: 3. Outline the general classifications of surgical instruments. TOP: Patient Care: Instruments MSC: CAAHEP: I.P.8 | ABHES: 8.e