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The./circulating./nurse./notices./that./the./patient./is./actively./
bleeding./from./one./of./the./operative./sites./and./the./surgeon
./has./left./the./room../Which./of./the./following./actions./should
./the./surgical./technologist./take?
A. Break./scrub./and./inform./the./surgeon.
B. Remain./in./gown./and./gloves./and./apply./pressure.
C. Break./scrub./and./monitor./the./sterile./field.
D. Open./a./new./sterile./field./for./the./patient../-
./correct./answers./B../Remain./in./gown./and./gloves./an
d./apply./pressure.
Rationale:./The./surgical./technologist./should./remain./sterile
./until./the./patient./is./out./of./the./operating./room./and./in./PA
CU../If./the./surgical./technologist./has./not./broken./scrub./she.
/can./apply./pressure./until./the./surgeon./is./called./back./into./
the./room../Since./the./field./remains./sterile./it./is./not./necess
ary./to./open./a./new./sterile./field.
The./surgical./technologist./is./helping./the./surgeon./complet
e./a./laparoscopic./cholecystectomy./and./the./surgeon./has./pl
aced./the./dressing./on./the./patient../Which./of./the./following.
/should./the./surgical./technologist./do./next?
,A. Remove./the./top./glove,./hold./the./dressing./in./place,./r
oll./away./the./drape./and./discard.
B. Remove./Mayo./stand,./back./table./and./top./glove,./hold.
/the./dressing./in./place,./tear./the./drape./off./the./patient ./a
nd./discard.
C. Remove./top./glove,./hold./dressing./in./place,./tear./th
e./drape./off./patient./and./discard.
D. Remove./the./Mayo./stand,./back./table./and./top./glove,./
hold./the./dressing./in./place,./roll./away./the./drape./and./dis
card../-
./correct./answers./D../Remove./the./Mayo./stand,./back./tabl
e./and./top./glove,./hold./the./dressing./in./place,./roll./away./t
he./drape./and./discard.
Rationale:./The./Mayo./stand./and./back./table./need./to./remain
./sterile./until./the./patient./is./out./of./the./room../The./top./glove
s./need./replaced./to./prohibit./any./debris./from./getting./the./
dressing./dirty../By./holding./the./dressing./on./with./the./clean.
/gloves./the./drape./can./be./removed./so./any./ biohazardous.
/materials./are./contained./within./the./drapes./and./discarded
.
A./tornado./warning./is./in./effect./and./power./has./been./switc
hed./to./the./generator./due./to./downed./electrical./lines../The
./hospital's./disaster./triage./protocol./has./been./activated../A./
surgical./procedure./is./in./progress../Which./of./the./following./
is./the./best./course./of./action./to./ensure./patient./safety?
A. Immediately./evacuate./the./patient./to./the./preoperativ
e./holding./area.
B. Finish./the./procedure./and./evacuate./the./patient.
,C. Place./wet./towels./under./door./and./finish./the./procedure.
D. Cover./the./back./table./until./the./storm./passes../-
./correct./answers./B../Finish./the./procedure./and./evacuate.
/the./patient.
Rationale:./Follow./hospital's./disaster./plan./for./tornado./pre
paredness./and./response../Under./Joint./Commissions./stan
dard./codes,./this./would./be./categorized./as./a./Code./Brown
,./which./is./a./weather./related./emergency../The./best./option./
in./this./instance./is./to./complete./the./case,./and./then./transf
er./the./patient./to./a./safe./location./for./post-operative./care.
Upon./opening./a./sterilized./instrument./tray,./the./surgical./t
echnologist./finds./bioburden./inside./the./lumen./of./a./metal./
suction../Which./of./the./following./actions./should./the./surgic
al./technologist./take?
A. Isolate./the./sterilized./suction,./then./flush./the./bioburde
n./with./sterile./water.
B. Remove./the./sterilized./suction./from./the./sterile./field.
C. Isolate./the./sterilized./suction./on./the./sterile./field./with./
a./sterile./towel.
D. Remove./the./sterilized./instrument./tray./from./the./steril
e./field../-
./correct./answers./D../Remove./the./sterilized./instrument./tr
ay./from./the./sterile./field.
, Rationale:./The./surgical./technologist./should./check./and./in
spect./instruments../If./bioburden./is./found,./the./whole./tray.
/should./be./discarded ./and./handed./off../(When./in./doubt./th
row./it./out.)./The./tray./should./not./be./left./on./the./sterile./fi
eld./at./all,./or./cleaned./on./the./sterile./field,./because./it./wo
uld./make./the./field./contaminated.
While./preparing./the./room./for./a./surgical./procedure./using.
/the./laser,./which./of./the./following./policies./ensure./the./las
er./is./being./used./correctly?./(Select./the./three./(3)./correct./
answers.)
A. Have./laparotomy./sponges./available.
B. Post./warning./signs./outside./the./room
C. Place./the./foot./control./next./to./the./circulator.
D. Do. / not. / use. / alcohol. / based. / preps.
E. Wear./safety./goggles../-
./correct./answers./B../Post./warning./signs./outside./the./room
.
D../ Do. / not. / use. / alcohol. / based. / preps.
E../Wear./safety./goggles.
Rationale:./Posting./warning./signs./will./prevent./surgery./do
ors./from./opening./and./causing./unnecessary./harm./to./co-
workers./outside./the./room../Not./using./alcohol./based./prep
s./will./decrease./the./risk./of./surgical./fires../Safety./goggles./
approved./for./that./specific./laser./will./prevent./injury./to./th
e./eye../Laparotomy./sponges./should./be./wet./if./available../T
he