A patient scheduled for surgery has an order for a preoperative surgical skin preparation. The nurse may be required to:

spray the surgical area with an antimicrobial solution.

shave the entire surgical site.

scrub the surgical area for 1 minute with antibacterial solution.

instruct the patient in the use of an antimicrobial soap in the shower.

Answer and Explanation

The Correct Answer is A

A. Spray the surgical area with an antimicrobial solution. Spraying an antimicrobial solution on the surgical area is a common method of skin preparation to reduce the risk of infection during surgery. It is important to follow specific guidelines set by the facility or surgical team.

B. Shave the entire surgical site. Shaving the surgical site is not typically recommended anymore because it can cause micro-abrasions that increase the risk of infection. Hair clipping is preferred if hair removal is necessary.

C. Scrub the surgical area for 1 minute with antibacterial solution. Scrubbing the area with an antibacterial solution may be part of the preparation, but it is typically done by the surgical team or after following specific guidelines for cleaning, not as a general preoperative action.

D. Instruct the patient in the use of an antimicrobial soap in the shower. This is another common preoperative practice, but the nurse's role may be to instruct the patient rather than carry out the preparation directly.

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Correct Answer is B

Explanation

A. Not an acceptable signature. This is incorrect because an "X" is legally acceptable if properly witnessed.

B. Legal if it is witnessed. An "X" is a valid legal signature if a witness verifies that the patient understands and voluntarily consents to the procedure.

C. Required to be accompanied by a picture identification. Picture identification is not necessary for consent validity; the primary requirement is witnessing.

D. Acceptable if the surgeon is willing. Consent must meet legal standards, not just the surgeon’s approval. A witness is required for it to be valid.

A. Atelectasis B. Rales C. Rhonchi D. Pneumothorax

Correct Answer is A

Explanation

A. Atelectasis. Atelectasis is the collapse of alveoli due to hypoventilation, which commonly occurs postoperatively, especially in the lung bases.

B. Rales. Rales (crackles) are abnormal lung sounds associated with fluid in the alveoli, commonly seen in conditions like pneumonia or pulmonary edema, not atelectasis.

C. Rhonchi. Rhonchi are low-pitched sounds caused by mucus in the airways, often seen in chronic bronchitis or COPD.

D. Pneumothorax. Pneumothorax presents with absent breath sounds on one side, not bilaterally in the lung bases.

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A patient scheduled for surgery has an order for a preoperative surgical skin preparation. The nurse may be required to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The illiterate patient signs the surgical consent form with an "X." The nurse is aware that this "X" is:

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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