The nurse reminds the patient that the member of the surgical team who is responsible for obtaining the surgical consent is the

circulating nurse

admitting department

scrub tech

surgeon

Answer and Explanation

The Correct Answer is D

A. Circulating nurse: The circulating nurse does not obtain the surgical consent. Their role is to assist in the operating room by managing supplies, documentation, and ensuring the safety of the environment.

B. Admitting department: The admitting department is involved in the patient’s admission process but does not obtain surgical consent.

C. Scrub tech: The scrub tech assists during surgery but does not obtain surgical consent. Their role is focused on sterile technique and assisting with instruments.

D. Surgeon: The surgeon is the one responsible for obtaining the patient's informed consent for surgery, ensuring that the patient understands the procedure, risks, and benefits.

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Correct Answer is C

Explanation

A. IV line patency: IV access is important for fluid and medication administration, but it is not the highest priority immediately postoperatively.

B. Urine output: Monitoring urine output is important for assessing kidney function and fluid balance, but airway management takes precedence.

C. Airway patency: The priority in the immediate postoperative period is maintaining a patent airway, as patients are at risk for respiratory complications such as obstruction, hypoxia, and aspiration due to anesthesia effects.

D. Wound drainage: Assessing wound drainage is necessary to monitor for excessive bleeding or infection, but it is not the top priority compared to airway patency.

A. Ill and the patient has depressed reflexes. B. IV and the patient will not depend on the anesthesia machine of oxygenations. C. Il and the surgical environment should be kept quiet. D. and the patient's hearing is amplified.

Correct Answer is C

Explanation

A. Stage III and the patient has depressed reflexes. Stage III of anesthesia is the surgical stage, where the patient is under deep anesthesia, and reflexes are typically depressed. However, tensed muscles and irregular respirations may indicate that the patient is still in an earlier stage of anesthesia (stage II).

B. Stage IV and the patient will not depend on the anesthesia machine for oxygenation. Stage IV is the deepest level of anesthesia, where respiratory and cardiovascular functions are severely depressed. It does not match the description of tensed muscles and irregular respirations, which are more characteristic of an earlier stage (stage II).

C. Stage II and the surgical environment should be kept quiet. Stage II of anesthesia is the excitement stage, where patients may exhibit tensed muscles, irregular respirations, and uncoordinated movements. The surgical environment should be kept quiet to minimize stimuli that could cause agitation or further excitement in this stage.

D. Stage I and the patient's hearing is amplified. Stage I is the stage of anesthesia where the patient is still conscious and responsive to stimuli. The description of tensed muscles and irregular respirations does not match this stage. Additionally, the patient’s hearing would not be amplified in stage I, but rather in stage II or as they begin to emerge from anesthesia.

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The nurse reminds the patient that the member of the surgical team who is responsible for obtaining the surgical consent is the

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Naxlex Comprehensive Predictor Exams

When a patient arrives in the PACU with a surgical dressing, an intravenous infusion, and a urinary catheter, the priority action of the nurse is assessment of:

Correct Answer is C

Explanation

The circulating nurse notes that the anesthetized patient has tensed muscles and irregular respirations. The nurse is aware that the patient has reached stage:

Correct Answer is C

Explanation

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