A "time out" occurs before surgery begins while all members of the team are present. The time out process occurs as a final verification of:
Select one:
Verifying if the patient has consent on the chart
. Verifying the correct surgeon, anesthesiologist, OR team are present
Correct patient, procedure, site, and implants (if applicable) performed.
Verifying if there is a DNR on the chart
The Correct Answer is C
A. While confirming consent is important, it is usually completed during the preoperative checklist, not the primary focus of the surgical "time out."
B. Although team presence is necessary, the "time out" is specifically about verifying critical details related to the patient and procedure, not the identities of the providers.
C. The "time out" is a universal protocol established to prevent wrong-patient, wrong-site, or wrong-procedure errors. All team members pause to confirm these crucial details before the incision.
D. DNR (Do Not Resuscitate) status is reviewed during preoperative planning but is not the focus of the surgical time out process.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. While tracking intake and output is important, it does not directly address the patient’s current complaint or help identify urinary retention.
B.The first action is to assess the bladder for distention by palpating above the symphysis pubis. This helps determine if the bladder is full and not emptying, which may indicate urinary retention.
C. Encouraging natural voiding techniques (like running water) is appropriate, but only after assessment confirms the bladder is not overly distended.
D. Notifying the provider is important if interventions fail, but the nurse should first assess before escalating the situation.
Correct Answer is B
Explanation
A. Pain, even if radiating, does not impair cognitive ability or decision-making unless it is so severe that it alters mental status. This alone does not prevent the patient from signing informed consent.
B. Sedating medications, such as benzodiazepines or opioids, impair cognitive function, judgment, and decision-making capacity. Consent signed after sedation is not legally valid because the patient may not be fully aware or able to comprehend the risks, benefits, and alternatives.
C. Financial concerns may influence a patient’s decisions, but they do not legally invalidate informed consent as long as the patient remains mentally competent and unmedicated.
D. Age alone does not preclude a patient from providing informed consent. As long as the individual is mentally competent, they can legally consent regardless of age.
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