The nurse discovers that the signed operative permit has misspelled the patient's name. The nurse must:

allow the patient to be taken to surgery after notifying the circulating nurse.

inform the surgeon of the error.

request a corrected consent form to be signed.

have the new form attached to the old incorrect one and document it.

Answer and Explanation

The Correct Answer is C

A. Allow the patient to be taken to surgery after notifying the circulating nurse. The patient should not proceed to surgery with an incorrect name on the consent form, even if the circulating nurse is informed.

B. Inform the surgeon of the error. While notifying the surgeon is important, the primary action is to obtain a corrected consent form.

C. Request a corrected consent form to be signed. A surgical consent form must be accurate. A new, correctly spelled form should be obtained before surgery to ensure legal and ethical compliance.

D. Have the new form attached to the old incorrect one and document it. Attaching a new form does not resolve the error; a corrected and properly signed form is required before surgery proceeds.

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Correct Answer is B

Explanation

A. Lying supine with knees flexed. Lying supine with knees flexed is a common position that can help relieve abdominal discomfort by relaxing the abdominal muscles and allowing gas to pass more easily.

B. Early ambulation: Early ambulation promotes the movement of gas through the intestines, which helps relieve bloating and discomfort. Moving helps stimulate peristalsis and reduces the risk of constipation or gas accumulation postoperatively.

C. Turning to the left side. Although turning to the left side may help with digestion, early ambulation is the most effective intervention for promoting the passage of gas and alleviating abdominal distention and discomfort.

D. Drinking fluids that are very hot: Hot liquids may irritate the stomach and intestines and are not a recommended strategy for relieving gas pain. Cool or room-temperature fluids are typically better tolerated postoperatively.

A. observe the amount of drainage from the surgical site. B. assist the patient to maintain a patent airway. C. keep the family posted on the patient's condition. D. maintain safety for the patient while unconscious. E. stimulate the patient to hasten return of consciousness.

Correct Answer is ["B","D"]

Explanation

A. Observe the amount of drainage from the surgical site. While the nurse in the PACU should monitor for complications, the primary focus is on the patient’s immediate recovery, such as airway management and vital signs. Drainage is important but is usually addressed once the patient is stable.

B. Assist the patient to maintain a patent airway. The primary role in the PACU is to monitor and maintain the patient’s airway. Ensuring that the patient is breathing properly is the most critical priority immediately postoperatively.

C. Keep the family posted on the patient's condition. While family communication is important, it is not the primary function of the nurse in the PACU, as the focus should be on monitoring the patient’s immediate condition post-surgery.

D. Maintain safety for the patient while unconscious. The nurse in the PACU must ensure that the patient is safe while unconscious, including monitoring for complications from anesthesia and ensuring that the patient’s vital signs remain stable.

E. Stimulate the patient to hasten return of consciousness. While it is important to help the patient regain consciousness, this should be done gently. The nurse should not aggressively stimulate the patient, as anesthesia will wear off naturally over time.

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The nurse discovers that the signed operative permit has misspelled the patient's name. The nurse must:

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Naxlex Comprehensive Predictor Exams

A patient who had abdominal surgery is complaining of "gas pains" and has distention of the abdomen and flatus. To promote patient comfort, the nurse should advise:

Correct Answer is B

Explanation

After the surgery, the patient is transferred to the PACU. Functions of the nurse in the PACU are to

Correct Answer is ["B","D"]

Explanation

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