During a time-out procedure before surgery, what should the nurse do if there is a discrepancy?

Choice A rationale
Planning is the phase of the nursing process where the nurse develops a plan of care based on the assessment data and identified nursing diagnoses. It involves setting goals and determining the appropriate interventions to achieve those goals. In this scenario, the nurse is not developing a plan but rather observing the effects of an intervention that has already been implemented.
Choice B rationale
Assessment is the initial phase of the nursing process where the nurse collects and analyzes data about the client’s health status. This includes gathering information through observation, interviews, physical examinations, and diagnostic tests. In this scenario, the nurse is not collecting new data but rather observing the outcome of a previously administered medication.
Choice C rationale
Evaluation is the phase of the nursing process where the nurse assesses the client’s response to the interventions and determines whether the goals of care have been met. In this scenario, the nurse is evaluating the effectiveness of the antihypertensive medication by noting the decrease in the client’s blood pressure. This assessment helps determine if the medication is achieving the desired therapeutic effect.
Choice D rationale
Analysis is the phase of the nursing process where the nurse interprets the assessment data to identify the client’s health problems and needs. It involves critical thinking and clinical judgment to determine the underlying causes of the client’s condition. In this scenario, the nurse is not analyzing data but rather evaluating the outcome of an intervention.

Choice A rationale
Using a nicotine patch to assist in smoking cessation involves the psychomotor domain of learning, which focuses on physical skills and actions.
Choice B rationale
Starting to use nicotine gum as part of the cessation plan also involves the psychomotor domain of learning, which focuses on physical skills and actions.
Choice C rationale
Encouraging the client to share their feelings about smoking involves the affective domain of learning, which focuses on emotions, attitudes, and values.
Choice D rationale
Explaining the benefits of smoking cessation involves the cognitive domain of learning, which focuses on knowledge, understanding, and intellectual skills.