The circulating nurse is responsible for:

preparing the sterile field.

pointing out the observation of contamination immediately to the personnel involved.

assisting with sterile draping of the patient.

maintaining an accurate count of sponges.

Answer and Explanation

The Correct Answer is B

A. Preparing the sterile field. This is the responsibility of the scrub person, not the circulating nurse. The circulating nurse is responsible for ensuring everything is in place and the environment is safe, but the sterile field is prepared by the scrub person.

B. Pointing out the observation of contamination immediately to the personnel involved. The circulating nurse is responsible for monitoring the sterile field and surgical environment and immediately pointing out any breaches in sterile technique or contamination to ensure patient safety.

C. Assisting with sterile draping of the patient. The scrub person usually assists with draping the patient in a sterile manner. The circulating nurse may provide the necessary sterile drapes but does not typically assist with the draping procedure directly.

D. Maintaining an accurate count of sponges. The responsibility for counting sponges, instruments, and other items used during the surgery belongs to the scrub person, not the circulating nurse.

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Correct Answer is C

Explanation

A. To relieve pain or complication without caring: This definition does not align with the meaning of "autologous." It is not related to relieving pain or complications.

B. Voluntary: "Voluntary" refers to an action taken by choice, but this is not the definition of "autologous."

C. Own, originating within an individual: "Autologous" refers to something that originates from the same individual. For example, autologous blood donation means the patient donates their own blood for later use.

D. Artificial body part: An artificial body part refers to a prosthesis, not something autologous. Autologous refers to the self, such as autologous tissue or stem cells.

A. irrigate the indwelling urinary catheter. B. notify the surgeon of the findings. C. increase the flow rate of the IV for 10 to 15 minutes. D. apply manual pressure to the patient's bladder.

Correct Answer is B

Explanation

A. Irrigate the indwelling urinary catheter. There is no indication that the catheter is obstructed. Catheter irrigation should only be performed if there is a suspected blockage (e.g., absent urine output, blood clots).

B. Notify the surgeon of the findings. Urine output of less than 30 mL per hour is concerning for decreased renal perfusion, possibly due to hypovolemia or other postoperative complications. The provider should be notified for further evaluation and intervention.

C. Increase the flow rate of the IV for 10 to 15 minutes. Increasing IV fluids may help improve urine output, but it should only be done based on a provider’s order and after assessing the patient’s volume status.

D. Apply manual pressure to the patient's bladder. This action is inappropriate unless the patient has urinary retention, which should be confirmed through assessment before attempting bladder compression

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The circulating nurse is responsible for:

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Naxlex Comprehensive Predictor Exams

Which of the following is the definition to autologous

Correct Answer is C

Explanation

A nurse is monitoring the urinary drainage from a patient who returned to the unit a few hours ago from the post anesthesia care unit (PACU) following a surgical procedure. The urine total is 54 mL for the last 2 hours. The most appropriate nursing action is to:

Correct Answer is B

Explanation

When the transport person comes to take the patient to surgery, it is most important that the nurse

A patient who has returned to the surgical nursing unit from the post-anesthesia care unit (PACU) is drowsy and requires verbal stimulation to remain aroused. The best position to maintain an airway for this patient is:

A patient undergoing preadmission testing before same day surgery asks how long he will remain in the recovery area before being allowed to go home. The nurse's most informative response would be:

The four phases of surgical care are preoperative care, intraoperative care, post anesthesia care, and:

A nurse preparing to get a patient out of bed for the first time since surgery will initially:

The nurse is aware that in both the very young and the older adult surgical patient, the risk is much higher for:

If a patient states that he is having second thoughts and is not sure he wants to have the surgery, the nurse would

A patient who had surgery earlier in the day using general anesthesia asks whether he can have something to eat. The diet order indicates clear liquids can be taken. Before giving a Jell O to the patient, the nurse should check for the presence of: