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A prosthesis is contaminated during an orthopedic case and a
suitable replacement is not immediately available. How should
this prosthesis be sterilized?
a. Immediate use sterilization @ 270° F for 3 minutes with a
chemical indicator
b. Send the implant to sterile processing to be returned after the
biological indicator has been read
c. Double-wrap and autoclave @ 270° F for 30 minutes with a
chemical
indicator
d. Immediate use sterilization @ 270° F for 10 minutes with both
chemical and biological indicators - ANSWER-b
The bowie-dick test is used to determine
a. Proper functioning of the vacuum system
,b. The concentration of ethylene oxide gas
c. Achievement of sterilization
d. Adequate temperature requirements - ANSWER-a
How often is it recommended to change surgical gloves during
an invasive surgical procedure?
a. Every 60 minutes
b. Midway through the procedure
c. Every 90 - 150 minutes
d. It is not necessary to change gloves during the procedure
unless they become contaminated. - ANSWER-c
After the sterile field is set up there is a delay in the operative
procedure. Which of the following is false?
a. Team members should observe for contamination.
b. The sterile field is sterile indefinitely unless something
happens to make it not sterile
c. The sterile field should be prepared as close to the time of
surgery as possible.
d. The sterility of an opened sterile field is time related -
ANSWER-d
,A recommended practice to be implemented to reduce the
potential for microorganisms in the bowel being transferred to
sterile tissue within the surgical site is called:
a. Bowel Technique
b. Infection prevention technique
c. Consolidation technique
d. Sterile tissue technique - ANSWER-a
The most effective way to reduce transmission of
microorganisms is to...
a. Wear gloves in lieu of hand hashing
b. Wash hands for a minimum of 15 seconds with soap and cool
water
c. Use a petroleum-based lotion for hand moisturizing
d. Wash hands in very hot water - ANSWER-b
When is it appropriate to perform hand washing with soap and
water in lieu of hand sanitizer?
a. After care of a patient with a history of MRSA
b. After care of a patient with C-Diff
c. After removal of gloves
d. Before performing patient care - ANSWER-b
, Contamination of a sterile surface by moisture that has
originated from a nonsterile surface and penetrated the
protective covering of an item is called:
a. Hazardous contamination
b. Penetrating injury
c. Gross
d. Strike through - ANSWER-d
During the procedure the perioperative RN should maintain the
integrity of the operative suite. Which of the following are
appropriate actions taken by the circulating nurse?
a. The non-scrubbed team member should always face away
from the sterile field
b. Only move within the laminar airflow for short periods of time
c. Walk between two sterile fields if there is adequate distance
to pass without accidental contamination.
d. Remain as far as possible from the field and scrubbed team
members -
ANSWER-d