ST BOOK Ch. 7 Surgical Asepsis and Sterility: Best Practices and Techniques

56問 • 3ヶ月前

問題一覧

Which of the following terms means the number of microbes or amount of organic debris on an object at any given time A. Asepsis B. Bioburden C. Infection D. Sepsis

Which of the following chemicals is a high-level disinfectant when items are immersed for twenty to thirty minutes and a sterilant if items remain immersed for ten hours A. Glutaraldehyde B. Isopropyl alcohol C. Quaternary ammonium compounds D. Sodium hypochlorite

Which of the following parts of the instrument reprocessing cycle is performed intraoperatively? A. Mechanical decontamination B. Steam sterilization C. Ultrasonic washer D. Wiping with sterile water

Which of the following types of processes does the ultrasonic cleaner use to dislodge minute particles of soil and organic debris? A. Cavitation B. Chelation C. Emulsification D. Solubilization

Which of the following types of packaging systems has filters and removable locking devices? A. Nonwoven wrapped B. Paper-plastic peel packs C. Rigid containers D. Woven wrapped

Which of the following sterilization methods is most commonly used, safest, least expensive, and appropriate for the majority of surgical instruments? A. Ethylene oxide B. Ionizing radiation C. Peracetic acid D. Saturated steam

Which of the following types of dating systems denotes the number of the calendar day from 1 through 365/366 A. Alphanumeric B. Cartesian C. Julian D. Military

The biological indicator BI for the steam sterilization method is A. DART B. Bowie-dick C. Bacillus atrophies D. Geobacillus stearothermophilus

Contamination caused by the passage of microorganisms through a sterilized package by way of moisture wicking is termed? A. Saturation B. Strike-through C. Solubilization D. Sequestration

Which of the following sterilization methods presents the greatest exposure risk to CSPD personnel, is expensive and requires the longest total cycle time A. Ethylene oxide B. Hydrogen peroxide gas plasma C. Peracetic acid D. Saturated steam under pressure

Cinder is the trade name for which of the following methods of sterilization A. Ethylene oxide B. Glutaradehyde C. Hydrogen peroxide gas plasma D. Peracetic acid

When opening a wrapped items such as a gown on a mayo stand, the contents and wrapper are considered sterile up to what distance from the edge of the wrapper A. All the way to the edge B. One inch from the edge C. Two inches from the edge D. Only the item itself is sterile

Which of the following terms refers to a barrier, such as plastic-back table cover, that does NOT allow for the passage of liquid through it A. Integral B. Insoluble C. Impervious D. Imperceptible

Which of the following types of wrapper material is compatible with hydrogen peroxide gas plasma sterilization method A. Cloth B. Muslin C. Paper D. Tyvek

The relationship of steam pressure to temperature in a steam sterilizer is A. Increased pressure increases temperature B. Increased temperature increases pressure C. Decreased pressure increases temperature D. Decreased temperature increases pressure

The physcial or chemical process by which all living microorganisms, including spores, are killed is A. Decontamination B. Disinfection C. Sanitation D. Sterilization

When nested basin sets are being sterilized, they should be placed in the steam sterilizer A. Fold side down with a towel used to separate them B. Fold side down with tape holding the together securely C. Facing upright with a towel used to separate them D. Facing upright with tape holing the together securely

Why are large steam sterilizers loaded with space between wrapped items or trays A. It ensure that the carts are not over-weighted B. It makes it easier to unload when the cycle is complete C. It allows adequate circulation and penetration of steam to all surfaces D. It allows for air to remain inside the package to facilitate steam penetration

Which of the following terms is used for inanimate objects that harbor microorganisms that contribute to environmental contamination A. Flora B. Fomites C. Vectors D. Viruses

Which of the following terms is NOT a classification of patient care items A. Critical B. Hypercritical C. Noncritical D. Semi-critical

Which of the following substances would be appropriate for use on animate surfaces A. Antiseptic B. Decontaminant C. Disinfectant D. Sterilant

Which of the following patient care items would be classified as noncritical A. Colonoscopies B. Hypodermic needles C. Laryngoscopes D. Pulse oximeters

Which of the following types of chemical solutions is made of catalysts that aid in breaking down proteinaceous debris such as blood and fat A. Antiseptic B. Disinfectant C. Emulsifier D. Enzymatic

Which of the following terms is the common name for the high-level disinfectant sodium hypochlorite A. Ammonia B. Bleach C. Peroxide D. Vinegar

Another name for the intermediate-level disinfectant compound phenol is A. Amino acid B. Carbolic acid C. Muriatic acid D. Peracetic acid

Which of the following substances would be appropriate for soaking instruments covered with bioburden during a surgical procedure? A. Isopropyl alcohol. B. Paracetic acid. C. Sterile saline. D. Sterile water.

Which of the following terms is used to describe the process of removing all soiled linen, waste, and instruments from the room and cleaning furniture, floors, or other contaminated surfaces in preparation for opening new supplies for a subsequent case A. Changeover. B. Concurrent cleaning. C. Terminal cleaning. D. Turnover.

All of the following choices are environmental specifications for the decontamination room in CSPD except A. Air exchange rate, minimum of 10 per hour. B. Humidity between 35% and 72%. C. Positive air pressure maintained. D. Temperature between 64°F and 70°F.

During manual cleaning of surgical instruments, which of the following types of solutions should be used? A. Cold water, detergent, and enzymatic cleaner with high pH. B. Lukewarm water, detergent, and enzymatic cleaner with neutral pH. C.Hot water, detergent, and enzymatic cleaner with high pH. D. Cold sterile, water and enzymatic solution with low pH.

Which of the following types of instruments must be cleaned with bristle brushes on wires, pipe, cleaners, or handheld pressure guns A. Microsurgical scissors. B. Self retaining retractors. C. Suction tip lumens D. Tissue forceps.

A potential risk of placing surgical instruments of dissimilar metallic type together in a washer sterilizer cycle is A. Alarm triggered by washer sterilizer. B. Bioburden contamination. C. Electrolytic conduction reaction. D. Static electric electrical spark.

Which of the following terms is used for the process of lubricating stiffened stainless steel surgical instruments by immersion in a water soluble solution A. Bathing. B. Dunking. C. Greasing. D. Milking.

Which of the following cleaning methods for surgical instrumentation relies on bubbles and floating, creating a vacuum that dislodges minute particles in crevices of instruments A. Manual soak. B. Ultrasonic cleaner. C. Washer decontaminator. D. Washer sterilizer.

Which of the following types of surgical instruments must never be immersed in any type of mechanical decontaminating equipment A. Powered. B. Stainless steel. C. Titanium. D. Tungsten-carbide.

Why are items disinfected or sterilized in activated glutaraldehyde dried prior to submersion? A. Moisture will prevent sterilant from reaching all surfaces. B. Moisture will create a toxic chemical reaction with sterilant. C. Moisture will cause air bubbles to form and prevent full contact. D. Moisture will eventually dilute the concentration to ineffective levels

Before opening any sterile, packaged item, what is most important to verify about the package? A. Date sterilized. B. Integrity of the package. C. Internal indicator/integrator. D. Sterilization cycle number.

Which of the following positions is acceptable for placement of a scrubbed, gown, and gloved surgical technologists hands A. Clasped together in front at waist level. B. Grasping edge of draped back table with fingers coiled under table edge. C. Hanging down at sides with hands below table level. D. Tucked into auxiliary region (armpits)

Sterile atired surgical team members should pass one another in any of the following ways except A. Back to back. B. Front to front. C. Front to back D. Rotating 360° around.

A non-sterile person should approach a sterile area face forward while maintaining a distance of A. 6 inches. B. 12 inches. C. 2 feet. D. 6 feet.

When a sterile, attired surgical technologist, drapes and unsterile table, they open the drape A. Away from themselves first. B. By shaking out folds first and laying it across table. C. Toward themselves first. D. Toward sides and pulling drape down well below edge.

Which of the following factors is the most important in a surgical tech technologists role in preventing surgical site infections? A. Extensive knowledge of anatomy. B. High GPA while a student. C. Participation in the “timeout” D. Strict surgical conscience.

Which of the following concepts has replaced the previous system of assessing Storage conditions, and package integrity based on an arbitrary expiration designation A. Double wrapping. B. Event related. C. Julian dating. D. Time related.

Which of the following methods of sterilization uses gamma rays or beta particles and is chiefly used by large manufacturing companies? A. Dry heat. B. Ethylene oxide. C. Hydrogen peroxide gas plasma. D. Ionizing radiation.

The recommended biological indicator (BI) for hydrogen peroxide Gas plasma is. A. Bacillus atrophaeus B. Bacillus subtilis C. Geobacillus stearothermophilus D. Staphylococcus aureus

The Bowie-Dick test is performed for which of the following sterilization methods A. Ethylene oxide gas. B. Activated glyceraldehyde. C. Hydrogen peroxide gas plasma. D. Prevacuum air removal steam

Gravity displacement steam sterilizer cycles are much shorter than prevacuum cycles True/false

False

Sterilization process monitors include mechanical, chemical, and biological methods to ensure all parameters were met True/false

True

Internal chemical indicator/integrators should be placed in the center or most challenging portion of a tray for the Steriliant to reach True/false

True

The relative humidity in an Ethylene oxide sterilizer should be below 30% to aid in the penetration of the gas through bacterial spores protective coating True/false

False

Performing the surgical scrub without a brush or sponge is acceptable True/false

True

What is the weight that AAMI Has recommended instrument sets should not exceed A. 10 pounds. B. 15 pounds. C. 25 pounds. D. 45 pounds.

Which of the following should never Be processed by immediate use(flash) sterilization methods A. Titanium micro instrumentation. B. Ebonized laser instruments. C. Stainless steel suction tips. D. Implantable devices.

How should air hoses of powered instruments or fiber optic light chords be placed in rigid container trays for sterilization A. Found it tightly with rubber bands. B. Found loosely with electrical tape. C. Coiled tightly and sealed peel pack inside Trey. D. Coiled loosely in perforated or mesh basket.

Which method of chemical sterilization has limitations based on the challenge of diffusion into narrow lumens A. Hydrogen peroxide, gas plasma. B. Ethlene oxide gas. C. Parasitic acid. D. Glyceraldehyde.

What kind of quality control devices consists of a paper that has been impregnated with a dye that changes color in the presence of a specific temperature and sterilant A.chemical indicator B. Mechanical indicator C. Cindex test strip D. Vile of spore population

What would be the exposure phase time for an unwrapped instrument set with some Lumans in a pre-vacuum/dynamic air removal steam autoclave A. 3 minutes B. 4 minutes C. 10 minutes D. 30 minutes

ST BOOK Ch. 12 Surgical Case Management

Valmau5 · 60問 · 3ヶ月前

ST BOOK Ch. 12 Surgical Case Management