The practical nurse (PN) is working in a surgical preoperative area and reviewing a signed consent form. The form reads "amputation of the right lower leg" but the client's left leg is labeled for amputation. The client has already received the preoperative medication from the anesthesiologist. Which should be the PN's next action?
Contact the healthcare provider to reschedule the surgery.
Obtain verbal consent from the client's nearest relative or significant other.
Cross out the error and initial the form to ensure the correct surgery.
Transport the client to the surgery suite since medications were administered.
The Correct Answer is A
A. Contact the healthcare provider to reschedule the surgery:
A discrepancy between the consent form and surgical site is a serious safety concern. The surgery must be halted until the error is corrected, even if pre-op medication has been given. This prevents wrong-site surgery.
B. Obtain verbal consent from the client's nearest relative or significant other:
Consent must come directly from the patient if they are competent. Verbal consent from a relative is not valid unless the patient is unable to consent.
C. Cross out the error and initial the form to ensure the correct surgery:
The consent form must be corrected and re-signed by the client and provider, not altered by the nurse alone.
D. Transport the client to the surgery suite since medications were administered:
Proceeding with surgery despite a site discrepancy risks harm and violates patient safety protocols.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Suction the trachea: Having suction equipment available helps clear the airway if secretions or vomitus occur during or after a seizure.
B. Apply soft restraints: Restraints are not used for seizure precautions; they can cause injury during seizure activity.
C. Insert a urinary catheter: Not a seizure precaution.
D. Insert a nasogastric tube: Not a seizure precaution and may be dangerous during active seizure.
Correct Answer is C
Explanation
A. Fatigue: Common in anemia but not the most characteristic crisis symptom.
B. Infection: A complication of sickle cell disease but not the hallmark of a vaso-occlusive crisis.
C. Joint pain: Vaso-occlusion causes severe pain, often in joints, bones, or abdomen, during a sickle cell crisis.
D. Decreased hemoglobin: Present but not the primary symptom described by the client in crisis.
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