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INTRAOPERATIVE CARE QUESTION What is the preferred type of needle for subcutaneous suturing?
A. Blunt
B. Keith
C. Reverse cutting
D. Taper cut
C. Reverse cutting
Reverse cut a needle is preferred for subcutaneous suturing when it transects the skin lateral to the wall
on the outside cutting edge points away from the wound edge and the inside flat edge is parallel to the
edge of the loan thereby reducing the tendency for suture to tear through tissue
INTRAOPERATIVE CARE QUESTION 56-year-old patient is undergoing an incision and drainage (I&D) of
the right knee and upper thigh after a motorcycle accident. A tourniquet applied to the patient's upper
thigh surgeon. Why should the patient's extremity not be exsanguinated prior to cuff inflation?
A. Open wounds do not require exsanguination.
B. Nerve damage may be too extensive.
C. Infection is present in the extremity.
D. Tourniquet pressures are adequate.
C. Infection present the extremity.
,Exasanguination can cause infectious materials, and any thrombus or potentially malignant cells to be
forced into the torso in these situations elevation of the limb alone may be performed to create
exsanguination
INTRAOPERATIVE CARE QUESTION Double-armed needles are most commonly used for procedures.
A. bowel
B. Liver
C. vascular
D. ophthalmic
C. Liver
Vascular anastomosis are usually zone with double armed sutures to allow for the suture line to run
circumferentially and joint at one point
INTRAOPERATIVE CARE
QUESTION
The normal craniotomy scalp flap is created by entering the ———-space.
A. subgaleal
B. subcutaneous
C. periosteal
D. pericranium
A. Subgaleal
The subgaleal space contains adipose tissue and allows for easy in mobility of the scalp it is in this
bloodless plane that the standard craniotomy scout flap is created
INTRAOPERARIVE CARE QUESTION The most common cause of delayed wound healing is
A. immunocompromised status.
B. diabetes.
C. smoking
,D. surgical site infection (SSI)
D. surgical site infection
Delayed wound healing among patients undergoing a surgical or other invasive procedures is most often
link to SSI's which is typically occur within 30 days of the procedure
INTRAOPERATIVE CARE QUESTION
The best of suture choice for a fascial closure would be
A. polydioxanone, Maxon, or Monocryl.
B. surgical chromic gut.
C. Prolene.
D. Ethibond.
A. Polydioxanone, Maxon, or monocryl
Facial tissue requires a closure that maintain strength for approximately three months synthetic
absorbable sutures (polydioxanone maxon or monocryl) are used for tissue that requires extended time
to absorb and maintain tissue strength eventual absorbability decreases the risk for infection related to
the presence of a foreign substance.
INTRAOPERATIVE CARE QUESTION
A vaginal hysterectomy receives which of the following wound classifications? A. Clean (Class I)
B. Clean-contaminated (Class lI)
C. Contaminated (Class III)
D. Dirty-infected (Class IV)
B. Clean contaminated (class II)
Clean contaminated wounds are those in which the respiratory alimentary or genitourinary tract is
entered under controlled conditions
INTRAOPERATIVE CARE QUESTION
, The superior thyroid artery supplies the thyroid gland and originates from which vessel?
A. Internal carotid artery
B. External carotid artery
C. Inferior thyroid artery
D. Subclavian artery
B. External carotid artery
Blood supply to the thyroid is from the superior thyroid artery which originates from the external carotid
artery and from the inferior thyroid artery which originates from the thyrocervical trunk of the
subclavian artery
INTRAOPERATIVE CARE QUESTION Moving a patient who weighs less than 73 pounds from supine to
lateral requires
A. 2 to 3 caregivers to assist with transfer
B. 3 to 4 caregivers to assist with transfer.
C. use of a mechanical lift device .
D. an air-assisted lateral transfer device.
A. 2-3 caregivers to assisst w/transfer
2 to 3 caregivers are needed to assist with transfer a patient in this weight category which is to address
worker safety and patient transfer
INTRAOPERATIVE CARE QUESTION Which of the following skin antiseptics are safe to use on the genitals?
A. lodine/lodophors
B. Alcohol
C. 4 % chlorhexidine gluconate ( CHG ) D. Alcoholic iodine/iodophors
A. Iodine/Iodophors
For those patients that do not have an iodine allergy non-alcoholic Iodine is the skin antiseptic of choice
for the genitals
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