INSTRUCTIONS. The following questions\u00a0are to be answered by writing the answer in\u00a0the space provided or by marking the correct response. After you have completed all\u00a0the questions, scroll\u00a0to the bottom of this page\u00a0and\u00a0check your answers.<\/p>\n
1. What is the purpose of preparing the operative site? __________________________________________________________________________<\/p>\n
2. List five major steps in the basic preparation procedures for minor surgery.<\/p>\n
a. ____________________________________________.<\/p>\n
b. ____________________________________________.<\/p>\n
c. ____________________________________________.<\/p>\n
d. ____________________________________________.<\/p>\n
e. ____________________________________________.<\/p>\n
3. To scrub the patient’s skin effectively, you should scrub in a ____________\u00a0motion for a minimum of ________ minutes.<\/p>\n
4. Complete the following statements (statements refer to preparation of traumatic\u00a0wounds).<\/p>\n
a. It may be necessary to _____________ or cover the wound while you scrub\u00a0and shave the area around the wound.<\/p>\n
b. Do not clean a traumatic wound with substances which might irritate the\u00a0wound; substances such as ____________ or _______________.<\/p>\n
c. A common, nonirritating substance which can be used to irrigate a\u00a0traumatic wound is _______________.<\/p>\n
d. The next step after irrigation of a traumatic wound is usually _____________.<\/p>\n
5. List three methods of irrigating a wound.<\/p>\n
a. ____________________________________________.<\/p>\n
b. ____________________________________________.<\/p>\n
c. ____________________________________________.<\/p>\n
6. Never shave or clip ______________________.<\/p>\n
7. Is it possible to irrigate contaminated wounds successfully by attaching IV tubing\u00a0to a bag of normal saline and irrigating under the force of gravity?<\/p>\n
a. Yes.<\/p>\n
b. No.<\/p>\n
8. Abscess is _______________________________________________________<\/p>\n
________________________________________________________________<\/p>\n
9. Incision and drainage (I & D) refers to ________________________________________________________________<\/p>\n
________________________________________________________________.<\/p>\n
10. When an abscess is _______________________________________, treatment\u00a0can be warm compresses.<\/p>\n
11. A patient who has recurrent episodes of abscesses may have an underlying\u00a0health problem. List three possible such problems.<\/p>\n
a. ____________________________________________.<\/p>\n
b. ____________________________________________.<\/p>\n
c. ____________________________________________.<\/p>\n
12. List eight major steps in the procedure of draining an abscess.<\/p>\n
a. ____________________________________________.<\/p>\n
b. ____________________________________________.<\/p>\n
c. ____________________________________________.<\/p>\n
d. ____________________________________________.<\/p>\n
e. ____________________________________________.<\/p>\n
f. ____________________________________________.<\/p>\n
g. ____________________________________________.<\/p>\n
h. ____________________________________________.<\/p>\n
13. List three cardinal rules for irrigation and drainage (I & D) that must be\u00a0remembered.<\/p>\n
a. ____________________________________________.<\/p>\n
b. ____________________________________________.<\/p>\n
c. ____________________________________________.<\/p>\n
14. Paronychia is ____________________________________________________.<\/p>\n
15. List four possible methods of treating paronychia, if the condition is treated early in\u00a0its development.<\/p>\n
a. ____________________________________________.<\/p>\n
b. ____________________________________________.<\/p>\n
c. ____________________________________________.<\/p>\n
d. ____________________________________________.<\/p>\n
16. List the five major steps in the procedure of incising and draining paronychia.<\/p>\n
a. ____________________________________________<\/p>\n
b. ____________________________________________<\/p>\n
c. ____________________________________________<\/p>\n
d. ____________________________________________<\/p>\n
e. ____________________________________________<\/p>\n
17. Among the conditions which might require that a toenail be removed are these.\u00a0Define these conditions.<\/p>\n
a. Onychoptosis–_____________________________________________.<\/p>\n
b. Onychomycosis–___________________________________________.<\/p>\n
c. Chronic\/recurrent paronychia–_________________________________.<\/p>\n
d. Onychogryposis–___________________________________________.<\/p>\n
18. List four contraindications for toenail removal.<\/p>\n
a. ____________________________________________.<\/p>\n
b. ____________________________________________.<\/p>\n
c. ____________________________________________.<\/p>\n
d. ____________________________________________.<\/p>\n
19. List the seven major steps in the procedure of toenail removal.<\/p>\n
a. ____________________________________________.<\/p>\n
b. ____________________________________________.<\/p>\n
c. ____________________________________________.<\/p>\n
d. ____________________________________________.<\/p>\n
e. ____________________________________________.<\/p>\n
f. ____________________________________________.<\/p>\n
g. ____________________________________________.<\/p>\n
20. What is a subungual hematoma? ________________________________________________________________<\/p>\n
________________________________________________________________<\/p>\n
21. Verruca vulgaris are commonly known as _____________________.<\/p>\n
22. Cryosurgery is a method of treating verruca vulgaris using liquid ____________.<\/p>\n
23. Where on the human body do plantar warts usually occur?<\/p>\n
________________________________________________________________.<\/p>\n
24. List three ways to remove a ring.<\/p>\n
a. ____________________________________________.<\/p>\n
b. ____________________________________________.<\/p>\n
c. ____________________________________________.<\/p>\n
Answers to Questions, LESSON 1<\/p>\n
1. The purpose of preparing the operative site is to make that site as free as possible\u00a0from microorganisms, dirt, and skin oil. (para 1-2a)<\/p>\n
2. Expose the skin area to be prepared.<\/p>\n
Don sterile gloves.<\/p>\n
Place sterile towels above and below the area to be cleaned.<\/p>\n
Place sterile absorbent towels along each side of the area.<\/p>\n
Scrub the patient’s skin. (para 1-2b)<\/p>\n
3. Circular<\/p>\n
10 (para 1-2c(2))<\/p>\n
4. a. Pack.<\/p>\n
b. Alcohol or detergents.<\/p>\n
c. Normal saline.<\/p>\n
d. Debridement. (para 1-2d, e)<\/p>\n
5. Use a bulb or asepto syringe.<\/p>\n
Use a 35cc syringe and a #19 gauge needle.<\/p>\n
Use a mechanical jet device. (para 1-2g(2))<\/p>\n
6. Eyebrows. (para 1-2f, CAUTION)<\/p>\n
7. a (para 1-2e (5))<\/p>\n
8. Abscess is an infection that results in a collection of purulent material in a\u00a0circumscribed and closed cavity. (para 1-3)<\/p>\n
9. Incision and drainage (I & D) refers to the release of the collection of pus by\u00a0making an incision in the skin and draining the pus. (para 1-3)<\/p>\n
10. In the early stage of development. (para 1-3)<\/p>\n
11. You are correct if you listed any three of the following:<\/p>\n
Malnutrition.<\/p>\n
Poor hygiene.<\/p>\n
Diabetes.<\/p>\n
Immune deficiencies. (para 1-3a)<\/p>\n
12. Make a straight incision.<\/p>\n
Express purulent material from wound.<\/p>\n
Obtain cultures from the drainage.<\/p>\n
Perform intracavity exploration.<\/p>\n
Clean the cavity.<\/p>\n
Observe the incision for hemostasis.<\/p>\n
Pack the abscess loosely.<\/p>\n
Apply a sterile gauze dressing. (para 1-3e(1) through (8))<\/p>\n
13. Local anesthesia permits complete drainage.<\/p>\n
Incision must go across the entire abscess.<\/p>\n
Postoperative warm water soaks. (para 1-3g)<\/p>\n
14. Paronychia is an inflammation of the folds around the nail. (para 1-4a)<\/p>\n
15. Soaks.<\/p>\n
Zinc oxide dressing.<\/p>\n
Elevation of the affected area (hand or foot).<\/p>\n
Antibiotics. (para 1-4b(1) through (4))<\/p>\n
16. Anesthetize the area.<\/p>\n
Incise the inflamed tissue next to the nail.<\/p>\n
If the infection has spread under the nail, remove the proximal nail.<\/p>\n
Culture the infected material to determine the causative organism.<\/p>\n
If there is not sufficient drainage, consider antibiotics. (para 1-4e(1) through (5))<\/p>\n
17. a. Ingrown nail.<\/p>\n
b. Ringworm or fungus infection.<\/p>\n
c. Inflammation of the nail fold.<\/p>\n
d. Deformed, enlarged, curved nail. (para 1-5b)<\/p>\n
18. Patient has a history of:<\/p>\n
Diabetes mellitus.<\/p>\n
Peripheral vascular disease.<\/p>\n
Bleeding disorder.<\/p>\n
Allergy to local anesthetics. (para 1-5d(1)(a) through (d))<\/p>\n
19. Scrub and drape the patient’s toe in a sterile fashion.<\/p>\n
Administer local anesthetic in a ring-block fashion.<\/p>\n
Secure a sterile rubber band with a straight hemostat as a tourniquet.<\/p>\n
Remove the nail from the nail bed.<\/p>\n
Apply antibacterial or antibiotic ointment to the nail bed.<\/p>\n
Cover the area with a sterile gauze pressure dressing.<\/p>\n
Remove the tourniquet. (para 1-5f)<\/p>\n
20. A subungual hematoma is blood outside the blood vessels such as blood located\u00a0beneath the nail of a toe or finger. (para 1-6a)<\/p>\n
21. Warts. (para 1-7a)<\/p>\n
22. Nitrogen. (para 1-7a(3))<\/p>\n
23. Plantar warts usually occur at the maximum pressure points. (para 1-7b(1))<\/p>\n
24. Lubricate the finger.<\/p>\n
“Milk” the ring.<\/p>\n
Cut the ring off. (para 1-8a through c)<\/p>\n","protected":false},"excerpt":{"rendered":"
INSTRUCTIONS. The following questions\u00a0are to be answered by writing the answer in\u00a0the space provided or by marking the correct response. After you have completed all\u00a0the questions, scroll\u00a0to the bottom of this page\u00a0and\u00a0check your answers. 1. What is the purpose of preparing the operative site? __________________________________________________________________________ 2. List five major steps in the basic preparation procedures … Continue reading Lesson 1: Self-Test<\/span>