overview

Question 1

Explain terminal disinfection

Answer 1

Deep cleaning the kennel or cage where the patient was after their discharge

Question 2

T/F the type of water that is used in an autoclave is not important because they heat from the steam sterilizes the instruments

Answer 2

FALSE - need distilled water

Question 3

What is written on the sterilization tape after prepping for a surgical prep

Answer 3

Type of pack
Date of sterilization
Initials of who wrapped it

Question 4

What is considered an acceptable amount of time for scrubbing hands using the timed anatomic method

Answer 4

5 minutes

Question 5

Explain the ideal method for verifying sterility of instruments and a properly functioning autoclave

Answer 5

Multiple sterility markers (tape, glass pellet, indicator strip)
Autoclave gauge showing temp & pressure
Biological indicators done regularly

Question 6

T/F closed gloving is the method used to don gloves when wearing a sterile gown

Answer 6

TRUE

Question 7

T/F the mayo scissors is used to dissection and cutting of delicate tissue

Answer 7

FALSE - meant for use on larger tissues

Question 8

T/F mosquito forceps are the same size as crile forceps

Answer 8

FALSE - smaller

Question 9

Describe the ideal OR as far as facility and equipment (8)

Answer 9

2 closeable doors & 2 lights
Separate room to change into proper attire
Patient table that can change heights
Anesthesia support
Radiology support
Back table/mayo stands
Suction & electrocautery
Emergency support

Question 10

Scalpel blades that fit a #4 handle

Answer 10

20, 21, 22, 23

Question 11

The gold handle on some surgical equipment signifies what

Answer 11

Coated with carbide tungsteen

Question 12

Give examples of a type of forceps from each category and the uses of each

Answer 12

Finger/thumb forceps: adson brown, rat tooth, debakey. Grasping & stabilizing tissues
tissue forceps: Allis, babcock, doyen. Securing tissues
Hemostatic forceps: mosquito, kelly, crile, carmalt. Occluding vessels, securing tissues

Question 13

Why is it important for an autoclave to increase pressure during sterilization cycle

Answer 13

Increasing pressure increases the temperature of the steam high enough to sterilize

Question 14

T/F the Mayo-Hager needle holders require separate scissors to cut

Answer 14

TRUE

Question 15

What is the purpose of a Freer elevator

Answer 15

Gently separates tissue from bone
Used in dentistry to loosen tooth from periodontal ligament

Question 16

T/F steam sterilization is effective and has no effect on sharp instruments

Answer 16

FALSE - corrodes and dulls over time

Question 17

Describe how a sterile assistant passes a pair of curved Metzenbaum scissors to a surgeon

Answer 17

Pass to surgeon with the handle towards them and the scissors closed and pointing up. Slap handle in the surgeons palm and don’t release until surgeon grabs it

Question 18

Describe one technique you could use to cut suture in the correct location

Answer 18

Surgeon will cross the sutures in an X and you cut right about the X

Question 19

a new client asks when a new puppy should be spayed. How do you respond and why?

Answer 19

Around 6 months old, before first heat cycle. Decreases chances of mammary cancer

Question 20

Define GDV and what needs to be done ASAP on presentation

Answer 20

Gastric dilation and volvulus.
Decompression & venous access

Question 21

Cloth gowns and draping materials have a life span of ______

Answer 21

75 cycles

Question 22

Iodine based preparation scrub should have a contact time of ______

Answer 22

5 minutes

Question 23

T/F after surgical preparation it is unacceptable to drop the hands below the table top, even if it’s covered by a sterile drape

Answer 23

TRUE

Question 24

T/F it is acceptable to enter the surgical suite without cap and mask because you are not part of the surgery

Answer 24

FALSE

Question 25

T/F donning surgical gloves without surgical scrubing is okay because the quality of the gloves is a guarantee

Answer 25

FALSE

Question 26

T/F drying hands after the surgical scrub should be done with a sterile towel or cloth

Answer 26

TRUE

Question 27

T/F polydioxanone is a synthetic, absorbable suture

Answer 27

TRUE

Question 28

You are assisting the doctor with a C-section as a circulating nurse, list 4 responsibilities you have

Answer 28

Receive the puppy Keep warm Rub to dry/stimulate Aspirate fluids Tie off umbilical cord

Question 29

T/F it is not appropriate to use a cutting needle to close a hollow organ in surgery

Answer 29

TRUE

Question 30

T/F first intention healing occurs in surgically closed wounds

Answer 30

TRUE

Question 31

What procedure is done to prevent the stomach from rotating, and to prevent GDV

Answer 31

gastropexy

Question 32

Removal of necrotic tissues occurs in which phase of wound healing

Answer 32

Debridement

Question 33

Which sutures are absorbable

Answer 33

Gut Poliglicaperone 25

Question 34

Which sutures are non-absorbable

Answer 34

Nylon Polyester Steel

Question 35

Which sutures are natural

Answer 35

Steel Gut cotton silk

Question 36

Which sutures are synthetic

Answer 36

Polyester Nylon Poliglicaperone 25

Question 37

Which sutures are monofilament

Answer 37

Gut Steel nylon Poliglicaperone 25

Question 38

Which sutures are multifilament

Answer 38

Polyester vicryl polyglactin

Question 39

T/F the surgeon asks for a 2-0 suture, this is larger in diameter that a 0 suture

Answer 39

FALSE

Question 40

Describe how to open a sterile pack for a surgeon

Answer 40

Hold in non dominant hand and open with dominant hand. Open away first, then both sides, then closest to me.

Question 41

Describe two disadvantages of indiscriminate use of antibiotics after surgery

Answer 41

False reliance - you can give improper care because you think the antibiotics will fix any lapses in asepsis Resistance - too many antibiotics can create antibiotic resistance

Question 42

Describe how to place field/quarter drapes on a patient prior to the final drape

Answer 42

Hold drape in front of you horizontally folded over your fingers. Place drape where the surgeon will be standing first. Then place both side drapes, then the opposite side drape. Clamp the drapes in each corner at the point of contact of the two drapes