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Kinn's Chapter 56

Surgical Supplies and Instruments

QuestionAnswer
1) Instruments must be ___________________to allow cleansing of the entire surface area. completely open
2) Research indicates that _______________ are safe, effective antiseptics. chlorhexidine (Hibiscrub or Hibiclens) and providone-iodine (Betadine)
3) For patients who find injection of a local anesthetic painful or traumatic, the physician may first spray the injection area with a ___________,_____________, which temporarily anesthetize the area at which the injection will be given. topical anesthetic, such as Flouri-Methane 15%
4) _____________ causes vasoconstriction at the site, which keeps the anesthetic in tissues longer, prolonging its effect. It also minimizes local bleeding. Epinephrine
5) The physician may want to use topical __________ solution or coated applicator sticks to stop localized bleeding, such as with ______________ at the site of a wound. Sliver nitrate(AgNO3); epistaxis (nosebleed) or capillary bleeding
6) _______________ have a flat blunt tip that can slide under the bandage without damaging the skin. Bandage scissors
7 _________________are used to remove tissue from the uterus. Placenta forceps
8) ________________ is used to find foreign bodies embedded in dermal tissue or muscle or to trace a wound tract. A probe
9) ________________ resemble gears are located just below the ring handles. They are used to lock an instrument into position. Ratchets
10) ________________, which has long slender tips, is used during nose or ear procedures. A bayonet forceps
11) Surgical instruments generally are classified according to their use; most belong to one of four groups: ~Cutting ~Grasping ~Retracting ~Probing and Dilating
12) The diameter of the suture strand determines its size; the _________________ are numbered below 0 (aught), and the _______________ are numbered above 0. smaller gauges; larger gauges
13) After a surgical procedure, _____________ should be placed in a basin of disinfectant solution, with heavier instruments on the _____________ and lighter, more delicate instruments on Contaminated instruments; bottom; top
14) _______________, such as with an ultrasonic device, can be used for most instruments and is an especially good method for preventing staff injuries. Mechanical washing
15) _______________ have a grooved tip that can slide under the suture material without traumatizing wound. Suture removal scissors
16) The ______________ of a needle holder are short so that they do not obstruct the action of suture needle. Jaws
17) A ______________ has a narrow tip for picking up foreign material. Splinter forceps
18) A _______________ have sharp tips to clamp on towel material that is used to drape the patient. Towel forceps
19) ______________have valves that are used to spread open tissue for visualization. Specula
20) A _____________ is a fiberoptic instrument used to visualize the anus and rectum sigmoidoscope
21) _______________ is a strong and has a high degree of elasticity. It is used primarily for skin closure. Because of it elasticity and stiffness, many knots must be used, because the knots tend to come untied if placed incorrectly. Nylon suture
22) Surgical scrub preparations should have a _____________________ effective against bacterial spores, work rapidly to reduce the number of transient bacteria, show persistent activity on the skin, broad antimicrobial action
23) _________________ must be maintained in all phases of a surgical procedure to prevent possible contaminated of the site. Sterile techniques
24) ___________ begin acting quickly, within 5 to 15 minutes; the duration of action depends on the type of anesthetic used, but the _____________ usually last 1 to 3 hours. Local anesthetics; anesthesia
25) The ____________ allows the structure to be cut and removed without trauma to the wound. hooked shaped
Created by: n.esperanza92
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