A nurse is caring for a client who is scheduled for a procedure. Which of the following actions should the nurse take during the time-out?
(Select All that Apply.)

Ask the client to read their identification bracelet.

Ask the client to point to the surgical site.

Use two acceptable client identifiers.

Verify that the surgical site has been marked.

Ask the client to state the surgery being performed.

Answer and Explanation

Correct Answer : C

A.   Asking the client to read their identification bracelet can be additional verification steps, but it is not standard practice for all institutions

B.   To point to the surgical site can be additional verification steps, but it is not standard practice for all institutions.
C.   Using two acceptable client identifiers, such as the client's name and date of birth, to confirm the patient's identity.
D.   It is important to verify that the surgical site has been marked, which is a critical step in preventing wrong-site surgery.
E.   Asking the client to state the surgery being performed is a good practice as it involves the patient in their care and serves as a final verification of the correct procedure.

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Correct Answer is D

Explanation

A. Obesity does not selectively affect only certain types of surgical procedures; rather, it generally increases the risk of complications across a wide range of surgical interventions. This includes both elective and emergency surgeries.
B. Obesity significantly impacts surgical risk. It is associated with a higher likelihood of complications such as wound infections, delayed wound healing, respiratory problems, and cardiovascular issues. The presence of excess body fat affects multiple physiological systems and can complicate both the surgical procedure and recovery.
C. Obesity does not decrease the risk of surgical complications; rather, it increases it. The excess body fat associated with obesity can lead to problems such as impaired wound healing, increased risk of infection, cardiovascular strain, and respiratory issues, which all contribute to a higher risk of complications during and after surgery.
D. This statement accurately reflects the relationship between obesity and surgical risk. Obesity is associated with an increased risk of a variety of surgical complications.

A. The nurse determines the prescription is above the recommended dosage range. B. The nurse determines the prescription is insufficient to achieve the desired effect. C. The nurse administers the prescribed dosage. D. The nurse contacts the pharmacist to adjust the prescribed dosage.

Correct Answer is B

Explanation

According to the recommended dosage range of 20 to 25 mg/kg/day for a toddler weighing 20 kg, the daily dosage should be between 400 mg (20 kg x 20 mg) and 500 mg (20 kg x 25 mg).

Therefore, the prescribed dosage of 300 mg per day is below the recommended range.

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A nurse is caring for a client who is scheduled for a procedure. Which of the following actions should the nurse take during the time-out? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following statements accurately reflects the relationship between obesity and surgical risk?

Correct Answer is D

Explanation

A nurse is preparing to administer amoxicillin 100 mg PO every 8 hr to a toddler who weighs 20 kg. The recommended dosage range is 20 to 25 mg/kg/day. Which of the following actions by the nurse is appropriate?

Correct Answer is B

Explanation

The nurse emphasizes the importance of deep breathing and coughing exercises post-operatively to prevent complications. Which statement by the client indicates understanding of these exercises?

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A nurse is caring for a client who is scheduled for a procedure. Which of the following actions should the nurse take during the time-out?
(Select All that Apply.)