Anesthesia and OR Protocols Quiz

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Questions and Answers

What is the period called from the beginning of anesthesia administration until the patient loses consciousness?

Emergence

Intubation

Induction (correct)

Analgesia

Which stage is characterized by respiratory and cardiac depression or arrest due to an overdose of anesthesia?

Stage I – Analgesia

Stage III – Surgical Anesthesia

Stage IV – Danger Stage (correct)

Stage II – Excitement

Which term describes the absence of oxygen in the body?

Hypnosis

Apnea

Anoxia (correct)

Anesthesia

What is the purpose of pre-anesthetic premedication?

To alleviate preoperative anxiety and create amnesia (C) Signup and view all the answers

What is the term used for the uncoordinated contraction of skeletal muscle fibers innervated by the same neuron?

Fasciculation (A) Signup and view all the answers

What is the main reason for not wearing dangling earrings in the OR?

They can fall into a wound or contaminate the sterile field. (C) Signup and view all the answers

Why should personal hygiene protocols be abided by in the OR?

To prevent the spread of microorganisms and contamination. (B) Signup and view all the answers

What type of footwear is recommended for individuals in the OR?

Comfortable, supportive shoes with enclosed toes and heels. (B) Signup and view all the answers

What should individuals do with street clothes after entering the OR?

Change into OR attire before proceeding. (D) Signup and view all the answers

What is a requirement for eyeglasses before a surgical procedure?

They should be cleaned and properly secured. (B) Signup and view all the answers

What type of attire is inappropriate for the OR environment?

Lab gowns that do not serve a functional purpose. (B) Signup and view all the answers

What is advised regarding hand hygiene in the OR?

Hands must be washed frequently and thoroughly. (B) Signup and view all the answers

When should personnel change back into street clothes?

Before leaving the OR suite. (C) Signup and view all the answers

What is the primary benefit of using 1% Triclosan in surgical scrubs?

It provides a prolonged cumulative suppressive action when used routinely. (D) Signup and view all the answers

What is the primary reason for counting instruments, sharps, and sponges during a surgical procedure?

For infection control and inventory control purposes (C) Signup and view all the answers

Which surgical scrub preparation step emphasizes the importance of nail cleanliness?

Fingernails should not reach beyond the fingertip to avoid glove puncture. (C) Signup and view all the answers

Which of the following practices should be avoided when handling loose instruments?

Piling instruments on top of one another (A) Signup and view all the answers

What is the recommended duration for a complete surgical scrub using Iodophors?

5-7 minutes (B) Signup and view all the answers

Which instruments should remain in their protective covers until needed during a surgical procedure?

All instruments including scissors and towel clips (B) Signup and view all the answers

What characteristic distinguishes 60% / 90% Alcohol from other antiseptic agents?

It is nontoxic and does not have residual activity. (C) Signup and view all the answers

What should the scrub nurse avoid while passing an instrument to the surgeon?

Passing multiple instruments at once (B) Signup and view all the answers

Which surgical scrub agent is most effective after a buildup of cumulative suppressive action?

3% Hexachlorophene (C) Signup and view all the answers

What item is critical to account for during the counting procedure to avoid accidental disposal?

Scissors and towel clips (D) Signup and view all the answers

How should hands and forearms be prepared for a surgical scrub?

Wet hands and forearms and then apply antiseptic agents. (A) Signup and view all the answers

What is a recommended practice when setting up an initial table for surgery?

Leave retractors and heavy instruments in a back table (C) Signup and view all the answers

During the surgical scrub, what is the appropriate method to clean under fingernails?

Use the sterile brush and nail cleaner on running water. (D) Signup and view all the answers

What should be done if an instrument is not stored in a rack or tip guard?

Use a rolled towel or gauze sponge for support (D) Signup and view all the answers

What is a safe temperature adjustment for water during surgical scrubs?

Warm water for comfort and to enhance efficacy. (C) Signup and view all the answers

Why should scrub and circulating nurses check instrument counts throughout procedures?

To ensure all items are accounted for and avoid loss (C) Signup and view all the answers

What should be assessed to determine if a client might have complications during surgery?

Hematologic and immunologic functions (B) Signup and view all the answers

What is the primary aim of pre-operative health teachings?

To decrease anxiety and increase knowledge of the surgical experience (D) Signup and view all the answers

What is necessary before marking incision lines on the skin?

Using a sterile marking pen or dye solution (D) Signup and view all the answers

Which of the following is NOT an aspect to assess in the client’s history before limb surgery?

Client's exercise routine (C) Signup and view all the answers

What must be done to nails prior to surgery of the limbs?

Clipped short, cleaned, and scrubbed (B) Signup and view all the answers

Which of the following equipment is typically used during the post-operative period?

Pulse oximeter (D) Signup and view all the answers

What is the purpose of skin marking before surgery?

To guide the surgical procedure (D) Signup and view all the answers

Which nursing diagnosis is most relevant for a client preparing for surgery?

Knowledge deficit (B) Signup and view all the answers

What type of detergent is recommended for cleaning instruments after a surgical procedure?

Non-corrosive, low-sudsing detergents (B) Signup and view all the answers

What should be done with instruments that have been dropped or passed off the sterile field?

Collect them separately and inspect before cleaning. (A) Signup and view all the answers

Which of the following is NOT advised for cleaning instruments?

Cleaning with a high-pH detergent (D) Signup and view all the answers

Why is it important to rinse off blood and debris with distilled water?

To avoid electrolyte deposition from dissimilar metals. (B) Signup and view all the answers

What is the maximum time that instruments can be soaked in iodophor?

1 hour (D) Signup and view all the answers

What is the effect of using an alkaline detergent on instruments?

Can cause staining of instruments (C) Signup and view all the answers

What is an important step when handling delicate and sharp instruments?

Separate them for special handling. (C) Signup and view all the answers

What should be done with all instruments, both used and unused, on the mayo and back tables?

They should be cleaned and inspected immediately. (D) Signup and view all the answers

Study Notes

Operating Room Attire

Consists of body coverings like a pantsuit, headcover, mask, shoe covers, goggles, and an apron.
Protects patients and personnel from contamination/infection.
Reduces particle count from the body from over 10,000 particles/min to 3,000/min, or from 50,000 microorganisms/cu ft to 500/cu ft.
Historical background:
- 1883: Gustav Neuber insisted on caps.
- 1896: Johann von Mikulicz advocated cotton gloves.
- 1897: Advocated gauze masks
- 1897: William Halsted designed a semicircular instrument table.

Operating Room Attire Criteria

Should be an effective barrier for microorganisms
Should be closely woven with minimal microbial shedding.
Should resist blood, bodily fluids, and abrasions
Should be comfortable, cool, and hypoallergenic.
Should not generate lint.
Should be able to transmit heat and water.
Should be easy to don and remove.
Should be colored to reduce glare under light.

Dress Code

Personal hygiene protocols should be followed.
Street clothes are to not be worn in restricted/semi-restricted areas.
OR attire is not worn outside the OR suite, to protect the OR from contamination from the outside environment and vice versa.
A clean scrub suit should be put on after returning to the OR suite.
Disposable attire is discarded after one use.

Protective Gloves

Latex is a polymeric membrane of natural rubber.
Contains protein antigens which are cured with agents that can cause allergic reactions.
Surgical gloves come in multiple thicknesses.

Sterile Gown

Worn over the scrub suit by all personnel in the sterile field.
Differentiates between sterile and non-sterile personnel.
Back of the gown is not sterile, nor are areas below the table level.
Cuffs are stockinette knit to fit the wrists tightly.
Should be resistant to fluids and blood.
Should be comfortable.

Masks

Worn to contain droplets containing microorganisms.
Used in restricted areas where sterile supplies are exposed.
Disposable masks are more appropriate.

Headcover

Completely covers all hair
Protects the gown from hair contamination
Made of dense woven materials.

Shoe Covers

Clean, washable, and soft-soled
Protect the person from contamination

Surgical Hand Scrubbing

Involves mechanical washing and chemical antisepsis to remove microorganisms from the hands and arms.
Done before gowning and gloving.

Surgical Instruments

Various instruments used in surgery for different tasks
Made of various materials like carbon steel, silver, brass, and stainless steel.
Categorized as;
- Sharp
- Grasping and Holding
- Clamping and Occluding
- Retractors

Surgical Draping

Used to create a sterile field.
Materials include drapes made of various materials.
Draping materials should be free from toxic ingredients, flame resistant, sterile and damp resistant, appropriate for patient temp, etc..

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Description

Test your knowledge on anesthesia administration and operating room (OR) protocols with this quiz. Questions cover stages of anesthesia, hygiene practices, and appropriate attire in the OR. Perfect for medical students and healthcare professionals wanting to reinforce their understanding of safe practices.