To help prevent errors in the surgical procedure, the National Patient Safety Goal instituted a directive that prior to presurgical medication, each patient must:

when still conscious participate in marking the surgical site.

have a photograph of the surgical site in the medical record.

have the unit nurse confirm their identity.

verbally state the location of the surgical site and the expected procedure.

Answer and Explanation

The Correct Answer is A

A. When still conscious, participate in marking the surgical site. The surgical site marking should be done with patient participation before anesthesia to confirm accuracy and prevent wrong-site surgery.

B. Have a photograph of the surgical site in the medical record. Photographs are not a standard requirement for surgical verification.

C. Have the unit nurse confirm their identity. Identity confirmation is necessary but not sufficient to prevent wrong-site surgery. Marking the site is the key step.

D. Verbally state the location of the surgical site and the expected procedure. Verbal confirmation is important but should be combined with physical marking of the site to ensure accuracy.

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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.

A. ease the stiffness from being on the operating table. B. decrease pain from immobile extremities. C. increase venous return and decrease stasis. D. increase activity to help prevent atelectasis.

Correct Answer is C

Explanation

A. Ease the stiffness from being on the operating table. While leg exercises can help relieve stiffness, their primary purpose is not to address the stiffness from surgery but to improve circulation and prevent complications.

B. Decrease pain from immobile extremities. Leg exercises may reduce discomfort associated with immobility, but the main goal is to prevent complications such as blood clots or deep vein thrombosis (DVT).

C. Increase venous return and decrease stasis. Leg exercises are primarily aimed at improving venous return to the heart and reducing the risk of stasis, which can lead to complications like DVT.

D. Increase activity to help prevent atelectasis. While increasing activity is important for overall recovery, leg exercises are more focused on circulation and preventing blood clots, not directly preventing atelectasis (a condition where the lungs partially collapse).

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To help prevent errors in the surgical procedure, the National Patient Safety Goal instituted a directive that prior to presurgical medication, each patient must:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient scheduled for surgery has an order for a preoperative surgical skin preparation. The nurse may be required to:

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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