A nurse manager is developing an in-service about The Joint Commission's National Patient Safety Goals for a group of surgical nurses. Which of the following information regarding Universal Protocol should the nurse include in the in-service?

Provide information about the risks of a surgical procedure to the client.

Request the client sign the informed consent form after administering a preoperative sedative.

Mark the client's surgical site with a small strip of nonporous tape.

Call a "time out" to verify client identity before starting a surgical procedure.

Answer and Explanation

The Correct Answer is D

A. Provide information about the risks of a surgical procedure to the client. Providing risk information is part of informed consent, not specifically part of Universal Protocol.
B. Request the client sign the informed consent form after administering a preoperative sedative. Informed consent should be obtained before administering sedatives to ensure the client is fully aware and able to consent.
C. Mark the client's surgical site with a small strip of nonporous tape. The surgical site should be marked with a permanent marker to ensure it remains visible and clear throughout the surgical preparation and procedure.
D. Call a "time out" to verify client identity before starting a surgical procedure. This is correct. The Universal Protocol includes a "time out" to verify the correct patient, procedure, and site before starting the surgery.

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Correct Answer is A

Explanation

A. Keep the collection bag below the level of the bladder. This prevents backflow of urine, which can introduce bacteria into the bladder and cause infection.
B. Irrigate the catheter routinely with sterile water every other day. Routine irrigation is not recommended as it can introduce pathogens and increase the risk of infection.
C. Use an antiseptic to cleanse the periurethral area twice each day. Cleansing with soap and water is recommended; frequent antiseptic use can irritate the skin and is not necessary.
D. Disconnect the catheter from the drainage tubing to collect urine specimens. Disconnecting the catheter can introduce bacteria and increase the risk of infection. Specimens should be collected using a sterile technique without disconnecting the system.

A. Liver failure B. Dehydration C. Immunosuppression D. Peripheral edema

Correct Answer is B

Explanation

A. Liver failure: Liver failure is not a common complication of Clostridium difficile infection.
B. Dehydration: Clostridium difficile causes severe diarrhea, which can lead to dehydration in the early stages.
C. Immunosuppression: Immunosuppression is not a direct complication of Clostridium difficile infection.
D. Peripheral edema: Peripheral edema is not commonly associated with Clostridium difficile infection.

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A nurse manager is developing an in-service about The Joint Commission's National Patient Safety Goals for a group of surgical nurses. Which of the following information regarding Universal Protocol should the nurse include in the in-service?

Nursing Test Bank

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