A nurse is assisting with positioning a patient on the operating table in the Trendelenburg position. The patient asks, "Why do I have to be in this position?” What should the nurse say?

Choice A reason:

Preparing the surgical instruments and equipment is one of the tasks that the CST performs, but it is not the only one. According to the Mayo Clinic, surgical technologists also assist during and after surgical procedures by passing tools, holding retractors, cutting suture, applying dressings, and counting materials. Therefore, choice A is incomplete and not the best answer.

Choice B reason:

Providing emotional support and education to the patient is not a task that the CST performs. This is usually done by the registered nurse (RN) or the anesthesia care provider before the surgery. The CST does not interact with the patient directly, but rather focuses on preparing and maintaining a sterile environment in the operating room. Therefore, choice B is incorrect.

Choice C reason:

Monitoring the patient's vital signs and oxygen saturation is not a task that the CST performs. This is usually done by the anesthesia care provider or the perioperative nurse during the surgery. The CST does not monitor the patient's condition, but rather assists the surgeon and other members of the surgical team. Therefore, choice C is incorrect.

Choice D reason:

Applying sterile drapes and handing instruments to the surgeon are both tasks that the CST performs. According to WebMD, these are part of the intraoperative duties of the CST, along with keeping the operating room sterile, assisting in retracting tissues, and suctioning and sponging. Therefore, choice D is correct and covers two of the main tasks that the CST performs.

Choice A reason:

This is incorrect because changing the dressing every day and keeping it dry may not be appropriate for all types of wounds. Some wounds may require more frequent dressing changes or moist wound healing environment to promote healing and prevent infection.

Choice B reason:

This is incorrect because showering with the dressing on may cause the dressing to become wet and contaminated, which can increase the risk of infection and delay healing. The dressing should be changed before and after showering, and the wound should be protected from water as much as possible.

Choice C reason:

This is correct because inspecting the dressing for signs of infection, such as redness, swelling, or drainage, is an important part of wound care. The patient should be taught how to recognize and report these signs to the health care provider as soon as possible. Early detection and treatment of infection can prevent complications and promote healing.

Choice D reason:

This is incorrect because removing the dressing after 24 hours and leaving the wound open to air may not be advisable for some wounds, especially those that are deep, large, or at risk of infection. The wound may need to be covered with an appropriate dressing for a longer period of time to protect it from contamination, maintain moisture balance, and support healing.