A nurse is assisting in the care of a client during surgery. Which of the following should the nurse identify as supporting a safe, therapeutic environment?

The grounding pad is positioned near the client's surgical site.

The client's surgical site is shaved with a razor.

The client is positioned to minimize pressure on the skin.

The client is covered with a cooling blanket during surgery.

Answer and Explanation

The Correct Answer is C

A. The grounding pad is positioned near the surgical site.: The grounding pad (for electrocautery) should be placed over a large, well-vascularized muscle mass, away from the surgical site and bony prominences.

B. The client's surgical site is shaved with a razor.: Razors create "micro-cuts" that increase the risk of surgical site infections. Clippers are preferred if hair removal is necessary.

C. The client is positioned to minimize pressure on the skin.: During surgery, clients are unable to move or feel pain. Proper padding and positioning are essential to prevent pressure injuries and nerve damage.

D. The client is covered with a cooling blanket.: Maintaining normothermia (normal body temperature) is critical for healing and preventing infection; warming blankets are typically used.

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Correct Answer is C

Explanation

A. Ask the client why they're unable to cope.: As noted previously, "Why" questions are non-therapeutic and can make the client feel defensive or judged.

B. Tell the client to think about something else.: This is a dismissive response that avoids the client's feelings and provides a false sense of a solution.

C. Ask the client to describe their support system.: Identifying a support system is a key step in the assessment of coping. It helps the client identify resources they can lean on during a crisis.

D. Tell the client that everything will be okay.: This is false reassurance, which is non-therapeutic because it discourages the client from expressing their actual concerns and is not a factual statement the nurse can guarantee.

A. Telephone number B. Diagnosis C. Date of birth D. Room number E. Identification bracelet

Correct Answer is ["A","C","E"]

Explanation

A. Telephone number: A telephone number is a valid and unique personal identifier according to Joint Commission standards.

B. Diagnosis: Multiple clients may have the same diagnosis (e.g., "Pneumonia").

C. Date of birth: This is a standard, universally accepted unique identifier.

D. Room number: Room numbers are not person-specific and can change frequently.

E. Identification bracelet: The ID band contains the client's name and a unique medical record number, making it a primary source for verification.

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A nurse is assisting in the care of a client during surgery. Which of the following should the nurse identify as supporting a safe, therapeutic environment?

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