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Chapter 11.1
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Robotic instruments:
May have exposed cables
Are processed the same as laparoscopic instruments
Require extensive preventive maintenance
Must be containerized for sterilization
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The purpose of using a decontamination battery or hose when cleaning powered surgical instruments is to:
Keep fluid from entering the unit
Keep functioning batteries and cords clean
Prevent electrical shock
Test the unit while cleaning
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The purpose of the insulation covering laparoscopic instruments is to:
Protect the patient from electrical current
Protect the surgeon from burns
Help keep the instrument from slipping during surgery
Protect the patient from cauterization
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Loaned instruments should:
Be decontaminated before use
Be sterilized using a low-temperature process
Be decontaminated if they appear soiled upon arrival
Not be used
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The first step when inspecting the insulation of a laparoscopic instrument is to:
Check the metal collar at the distal tip
Try to slide the insulation back
Check the handle for chipping or cracking
Visually check the instrument’s shaft
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Which of the following steps occurs first when processing flexible endoscopes?
Leak testing
High-level disinfection/sterilization
Manual cleaning
Drying
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Which of the following statements about endoscopes is true?
Flexible endoscopes are time-consuming to clean
Ultrasonic cleaning is the process of choice for endoscopes
Flexible endoscopes are not easily damaged
All endoscopes should be steam sterilized
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Robotic instruments:
All choices
Do not come apart for cleaning
Have mechanical & electrical components in the end of the instrument
Are heavier than standard laparoscopic instruments
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Arthroscopy instruments are used during:
Joint surgery
Robotic surgery
Laparoscopic surgery
All choices
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Which of the following should be used to thoroughly rinse all traces of detergent from a rigid endoscope's channels?
Water quality recommended in the manufacturer’s instructions for use
Forced air
Treated water
Water containing an approved sterilant
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Electronic testing of laparoscopic insulation should be done:
In the clean assembly area prior to set assembly
At the factory or onsite repair unit
In the Operating Room at the end of the procedure
In the decontamination area prior to cleaning
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Dark areas on the lens of an endoscope are:
Damaged light fibers
Debris
Light-emitting diode optics
LED bulbs
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