A surgeon is performing an abdominal hysterectomy. Before the surgery is completed, the operating room nurse counts the sponges and notes that the sponge count is not correlating with the preoperative count. Which action by the nurse is important?

Informing the surgeon of the situation

Asking the circulating nurse to look for the sponge

Looking on the instrument table for the sponge

Recording that the count was incorrect

Answer and Explanation

The Correct Answer is A

A. The highest priority is patient safety. If the sponge count is incorrect, the surgeon must be immediately informed so that the surgical site can be inspected before closure. This prevents the risk of a retained surgical item, which can lead to severe complications.
B. While the circulating nurse may assist in locating the sponge, the surgeon must first be informed to delay closure and possibly search within the patient.
C. This step may be taken as part of the overall search, but the first action should be to notify the surgeon.
D. Documentation is necessary, but not the priority in this moment. Immediate communication to the surgical team is critical to prevent harm.

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Correct Answer is C

Explanation

A. While monitoring is important, it is not the priority when the patient is symptomatic with hypotension and dizziness.
B. IV fluids may be necessary to treat hypotension, but positioning the patient safely and notifying the provider comes first to prevent falls or further deterioration.
C. The patient is showing signs of orthostatic hypotension and compensatory tachycardia. Placing the patient in a supine position helps restore cerebral perfusion and stabilize blood pressure. Immediate notification of the provider allows for prompt medical intervention.
D. Documentation and monitoring are important, but intervention is needed immediately due to symptomatic hypotension.

Correct Answer is ["7.5"]

Explanation

To determine how many milliliters to administer per dose, use the formula:
Volume to administer = (Desired dose ÷ Available dose) × Volume on hand
Volume = (300,000 units ÷ 200,000 units) × 5 mL
Volume = 1.5 × 5 mL = 7.5 mL

Answer: 7.5 mL

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A surgeon is performing an abdominal hysterectomy. Before the surgery is completed, the operating room nurse counts the sponges and notes that the sponge count is not correlating with the preoperative count. Which action by the nurse is important?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A postoperative patient reports dizziness when sitting up. The patient's blood pressure is 88/58 mmHg, heart rate is 112 bpm, and respiratory rate is 18 breaths per minute. What is the nurse's priority action? Select one:

Correct Answer is C

Explanation

The licensed prescriber orders penicillin V 300,000 units po four times a day for your patient with chronic otitis. The drug is supplied in oral solution 200,000 units/5 mL. How many milliliters will you administer per dose?

Correct Answer is ["7.5"]

Explanation

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