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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
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.
Correct Answer is B
Explanation
A. Nausea and vomiting. Nausea and vomiting can occur after surgery due to anesthesia and other factors. However, it is more common in patients of all ages who undergo certain types of surgery. Though these groups may be more susceptible, this is not the most specific risk.
B. Delayed healing. Both very young and older adult patients are at higher risk for delayed healing. In the very young, the immune system and cell regeneration processes are still developing, while in older adults, decreased circulation, chronic conditions, and slower cellular regeneration can impair wound healing.
C. Anorexia. Anorexia is not specific to surgical patients. While appetite loss can occur postoperatively, it is not as universally problematic in young or older surgical patients as delayed healing.
D. Hydration issues. Hydration issues can occur in all patients, especially following surgery, but they are particularly critical for the very young (due to smaller body mass and high fluid turnover) and the elderly (due to decreased kidney function and total body water). However, this is not as universally prevalent as delayed healing.
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