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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
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
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
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
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
Which of the following steps occurs first when processing flexible endoscopes?
 
Leak testing
 
High-level disinfection/sterilization
 
Manual cleaning
 
Drying
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
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
Arthroscopy instruments are used during:
 
Joint surgery
 
Robotic surgery
 
Laparoscopic surgery
 
All choices
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
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
Dark areas on the lens of an endoscope are:
 
Damaged light fibers
 
Debris
 
Light-emitting diode optics
 
LED bulbs