INSTRUCTIONS. The following questions are to be answered by writing the answer in the space provided or by marking the correct response. After you have completed all the questions, scroll to the bottom of this page and check your answers.
1. What is the purpose of preparing the operative site? __________________________________________________________________________
2. List five major steps in the basic preparation procedures for minor surgery.
a. ____________________________________________.
b. ____________________________________________.
c. ____________________________________________.
d. ____________________________________________.
e. ____________________________________________.
3. To scrub the patient’s skin effectively, you should scrub in a ____________ motion for a minimum of ________ minutes.
4. Complete the following statements (statements refer to preparation of traumatic wounds).
a. It may be necessary to _____________ or cover the wound while you scrub and shave the area around the wound.
b. Do not clean a traumatic wound with substances which might irritate the wound; substances such as ____________ or _______________.
c. A common, nonirritating substance which can be used to irrigate a traumatic wound is _______________.
d. The next step after irrigation of a traumatic wound is usually _____________.
5. List three methods of irrigating a wound.
a. ____________________________________________.
b. ____________________________________________.
c. ____________________________________________.
6. Never shave or clip ______________________.
7. Is it possible to irrigate contaminated wounds successfully by attaching IV tubing to a bag of normal saline and irrigating under the force of gravity?
a. Yes.
b. No.
8. Abscess is _______________________________________________________
________________________________________________________________
9. Incision and drainage (I & D) refers to ________________________________________________________________
________________________________________________________________.
10. When an abscess is _______________________________________, treatment can be warm compresses.
11. A patient who has recurrent episodes of abscesses may have an underlying health problem. List three possible such problems.
a. ____________________________________________.
b. ____________________________________________.
c. ____________________________________________.
12. List eight major steps in the procedure of draining an abscess.
a. ____________________________________________.
b. ____________________________________________.
c. ____________________________________________.
d. ____________________________________________.
e. ____________________________________________.
f. ____________________________________________.
g. ____________________________________________.
h. ____________________________________________.
13. List three cardinal rules for irrigation and drainage (I & D) that must be remembered.
a. ____________________________________________.
b. ____________________________________________.
c. ____________________________________________.
14. Paronychia is ____________________________________________________.
15. List four possible methods of treating paronychia, if the condition is treated early in its development.
a. ____________________________________________.
b. ____________________________________________.
c. ____________________________________________.
d. ____________________________________________.
16. List the five major steps in the procedure of incising and draining paronychia.
a. ____________________________________________
b. ____________________________________________
c. ____________________________________________
d. ____________________________________________
e. ____________________________________________
17. Among the conditions which might require that a toenail be removed are these. Define these conditions.
a. Onychoptosis–_____________________________________________.
b. Onychomycosis–___________________________________________.
c. Chronic/recurrent paronychia–_________________________________.
d. Onychogryposis–___________________________________________.
18. List four contraindications for toenail removal.
a. ____________________________________________.
b. ____________________________________________.
c. ____________________________________________.
d. ____________________________________________.
19. List the seven major steps in the procedure of toenail removal.
a. ____________________________________________.
b. ____________________________________________.
c. ____________________________________________.
d. ____________________________________________.
e. ____________________________________________.
f. ____________________________________________.
g. ____________________________________________.
20. What is a subungual hematoma? ________________________________________________________________
________________________________________________________________
21. Verruca vulgaris are commonly known as _____________________.
22. Cryosurgery is a method of treating verruca vulgaris using liquid ____________.
23. Where on the human body do plantar warts usually occur?
________________________________________________________________.
24. List three ways to remove a ring.
a. ____________________________________________.
b. ____________________________________________.
c. ____________________________________________.
Answers to Questions, LESSON 1
1. The purpose of preparing the operative site is to make that site as free as possible from microorganisms, dirt, and skin oil. (para 1-2a)
2. Expose the skin area to be prepared.
Don sterile gloves.
Place sterile towels above and below the area to be cleaned.
Place sterile absorbent towels along each side of the area.
Scrub the patient’s skin. (para 1-2b)
3. Circular
10 (para 1-2c(2))
4. a. Pack.
b. Alcohol or detergents.
c. Normal saline.
d. Debridement. (para 1-2d, e)
5. Use a bulb or asepto syringe.
Use a 35cc syringe and a #19 gauge needle.
Use a mechanical jet device. (para 1-2g(2))
6. Eyebrows. (para 1-2f, CAUTION)
7. a (para 1-2e (5))
8. Abscess is an infection that results in a collection of purulent material in a circumscribed and closed cavity. (para 1-3)
9. Incision and drainage (I & D) refers to the release of the collection of pus by making an incision in the skin and draining the pus. (para 1-3)
10. In the early stage of development. (para 1-3)
11. You are correct if you listed any three of the following:
Malnutrition.
Poor hygiene.
Diabetes.
Immune deficiencies. (para 1-3a)
12. Make a straight incision.
Express purulent material from wound.
Obtain cultures from the drainage.
Perform intracavity exploration.
Clean the cavity.
Observe the incision for hemostasis.
Pack the abscess loosely.
Apply a sterile gauze dressing. (para 1-3e(1) through (8))
13. Local anesthesia permits complete drainage.
Incision must go across the entire abscess.
Postoperative warm water soaks. (para 1-3g)
14. Paronychia is an inflammation of the folds around the nail. (para 1-4a)
15. Soaks.
Zinc oxide dressing.
Elevation of the affected area (hand or foot).
Antibiotics. (para 1-4b(1) through (4))
16. Anesthetize the area.
Incise the inflamed tissue next to the nail.
If the infection has spread under the nail, remove the proximal nail.
Culture the infected material to determine the causative organism.
If there is not sufficient drainage, consider antibiotics. (para 1-4e(1) through (5))
17. a. Ingrown nail.
b. Ringworm or fungus infection.
c. Inflammation of the nail fold.
d. Deformed, enlarged, curved nail. (para 1-5b)
18. Patient has a history of:
Diabetes mellitus.
Peripheral vascular disease.
Bleeding disorder.
Allergy to local anesthetics. (para 1-5d(1)(a) through (d))
19. Scrub and drape the patient’s toe in a sterile fashion.
Administer local anesthetic in a ring-block fashion.
Secure a sterile rubber band with a straight hemostat as a tourniquet.
Remove the nail from the nail bed.
Apply antibacterial or antibiotic ointment to the nail bed.
Cover the area with a sterile gauze pressure dressing.
Remove the tourniquet. (para 1-5f)
20. A subungual hematoma is blood outside the blood vessels such as blood located beneath the nail of a toe or finger. (para 1-6a)
21. Warts. (para 1-7a)
22. Nitrogen. (para 1-7a(3))
23. Plantar warts usually occur at the maximum pressure points. (para 1-7b(1))
24. Lubricate the finger.
“Milk” the ring.
Cut the ring off. (para 1-8a through c)