Chapter 8 preparation and packaging of instrument and devices

which of the following statement is TRUE? packaging materials must

A. be impenetrable
B. contain air inside the package
C. resist entry of microorganism into the package
D. be able to used all sterilization methods

C. resist entry of microorganism into the package

Muslin wrapper have which thread count per square inch?

A. 100 per inch ( 2.76 cm)
B. 120 per inch ( 2.76 cm )
C. 140 per inch ( 2.76 cm)
D. 160 per inch ( 2.76 cm)

C. 140 per inch ( 2.76 cm)

which of the following statements about reusable wrappers is TRUE?

A. they do not have to re-laundered if the package is open but not used.
B. inspection of wrapper is performed using lighted magnification.
C. holes can be repaired by sewing.
D. the numbers of reuses should be tracked.

D. the numbers of reuses should be tracked.

Dual-ply wrap

A. has the two wrappers bonded together.
B. requires that two wrappers be applied sequentially.
C. resists tearing and damage.
D. can be used to line sterilizer carts.

A. has the two wrappers bonded together.

if a non-perforated tray is used for sterilization of instrument sets, it must be

A. wrapped with a towel before instrument are placed in it
B. processed on the top rack of the sterilizer
C. laid flat on the sterilizer rack
D. tilted forward on the sterilizer rack

D. tilted forward on the sterilizer rack

which of the following statement is TRUE?

A. magic marker can be used to label packages
B. ballpoint pens can only be used on the sterilization tape
C. markers used must be non-toxic and approve for the sterilization process
D. writing on the packaging material is permitted

C. markers used must be non-toxic and approve for the sterilization process

when assembling a set containing heavy and delicate instrument, where should the heavier instruments be placed in the set?

A. on top of the delicate instruments
B. on the bottom of the sets
C. in the center of the tray
D.on the right hand side

B. on the bottom of the sets

which of the following can be done to aid in the drying of wrapper instrument sets?

A.place the set on a transfer tray
B. place instruments in foam dividers
C. place a disposable, absorbent tray liner in the bottom of the tray
D. place silicone mats in the bottom of the tray

C. place a disposable, absorbent tray liner in the bottom of the tray

which of the following statements about missing instruments is TRUE

A. missing instrument are always lost in SPD
B. accurate count sheets contribute to missing instrument
C. adequate inventories of instrument have no effect on missing instruments
D. missing instrument can be caused by inadvertent discarding of instrument during breakdown of set

D. missing instrument can be caused by inadvertent discarding of instrument during breakdown of set

where should the chemical indicator be placed in a wrapped set of instrumen?

A. the left-hand
B. the center of the set
C. two opposite corners
D. the right-hand side

B. the center of the set

which of the following should be placed within each package to provide information on critical sterilization parameters?

A. biological indicators
B. mechanical indicators
C. bowie-dick test
D. Type 4 or higher chemical indicator

D. Type 4 or higher chemical indicator

basin sets should be prepared for sterilization with

A. basins separated by at least 1/2 inch
B. basins placed in opposite directions
C. an absorbent material between each basin
D. a non-absorbent material between each basin

C. an absorbent material between each basin

using excessive amounts of chemicals indicator tape to seal a package to be sterilized can

A. interfere with air removal and steam penetration
B. interfere with the stacking of sets on the shelfs
C. cause damage to nonwoven wrappers
D. cause difficulty in removing the tape in the operating room

A. interfere with air removal and steam penetration

sterilant penetration can be inhibited by using a(n)

A. wrapper that is too small
B. wrapper that is too large
C. envelope fold on a small set
D. square fold on a large pack

B. wrapper that is too large

when packaging an item in a paper-plastic pouch, approximately how much space should be left between the item and the inside edges of the pouch?

A. 1/4 inch (.635 cm)
B. 1/2 inch (1.27 cm)
C. 3/4 inch (1.90 cm)
D. 1 inch (2.54 cm)

D. 1 inch (2.54 cm)

paper-plastic pouches can be used

A. inside wrapped sets
B. inside rigid containers
C. to package a set of osteotomes
D. for light-weight items

D. for light-weight items

which of the following packaging materials can be used for low-temperature gas plasma sterilization?

A. textile wraps
B. tyvek
C. woven wrappers
D. paper-plastic pouches

B. tyvek

critical parameter for heat sealing paper-plastic pouches include temperature, pressure and which of the following?

A. dwell time
B. rotary banding
C. impulse banding
D. space above the seal

A. dwell time

tamper-evident seals on rigid containers include which of the following?

A. lids and gaskets
B. lids and latches
C. latches and locks
D. filters and gaskets

C. latches and locks

prior to packaging, large instruments sets should be placed

A. on a flat metal tray
B. in a paper-plastic pouch
C. in a solid metal basket
D. in a perforated metal mesh basket

D. in a perforated metal mesh basket

sterile tray that might be subjected to storage challenges should be

A. sterilized in a paper-plastic peel pouch
B. wrapped in double-ply wrap
C. sealed with extra autoclave tape
D. placed in a sterility maintenance cover

D. placed in a sterility maintenance cover

Paper-plastic pouches are generally used to package

A. heavy single instrument
B. high profiled instrument
C. one to two light weight instrument
D. orthopedic loaner trays

C. one to two light weight instrument

when using the sequential wrapping method

A. use extra packaging material to line the tray inside
B. apply one wrapper followed by a second one
C. the first fold should not cover the contents of the set
D. only one wrapper should be used

B. apply one wrapper followed by a second one

surgical grade instrument, if properly cared for, usually last longer than floor grade instruments because they have a

A. passivation layer
B. ferrous oxide layer
C. chromium plating
D. reflective plating

A. passivation layer

if the operating room request instruments for an emergency ruptured aortic aneurysm, the tech should send

A. laparoscopic instrument
B. major vascular instrument
C. stereotaxic instrument
D. carotid endarterectomy instrument

B. major vascular instrument

which of the following is the main DISADVANTAGE of using a rigid sterilization container system?

A. they are difficult to wrap
B. they have surfaces that are slow to reach sterilizer chamber temperature
C. they have easily damaged outer surfaces
D. they must be disassembled, processed, reassembled, and checked before each use

D. they must be disassembled, processed, reassembled, and checked before each use

containerized packaging systems are most commonly used to protect which of the following during steam sterilization?

A. flexible fiberoptic endoscopes
B. surgical instrument sets
C. linen packs
D. basin sets

B. surgical instrument sets

simultaneous wrapping means to wrap an instrument set with

A. two double-ply woven textile wrappers applied one at a time
B. a single-woven textile wrapper
C. a single non-woven wrapper , double-ply, bonded at the edges
D. one double-woven wrapper and one non-woven wrapper applied one at a time

C. a single non-woven wrapper , double-ply, bonded at the edges

clamps used for hemostasis are also designed to

A. hold sutures
B. minimize damage to tissue
C.separated edges of a wound
D. hold edges of a wound

B. minimize damage to tissue

an instrument tray for a laparotomy procedure must include a(n)

A. hibbs retractor
B. simms retractor
C. abdominal retractor
D. thyroid retractor

C. abdominal retractor

inspection and verification of adequate cleaning is difficult with instruments

A. with lumens
B. without lumens
C. with locks
D. with blades

A. with lumens