To verify the correct patient, procedure, and surgery, which of the following should be done?

Provide an opportunity for team members to ask Questions.

Discuss personal matters unrelated to the surgery.

Review the surgical instruments and equipment.

Confirm the patient’s identity and procedure.

Answer and Explanation

The Correct Answer is D

Choice A rationale
Providing an opportunity for team members to ask questions is important for effective communication and teamwork, but it is not the primary action to verify the correct patient, procedure, and surgery. This action is more related to ensuring that all team members are on the same page and can clarify any doubts, but it does not directly verify the patient’s identity and procedure.
Choice B rationale
Discussing personal matters unrelated to the surgery is incorrect and unprofessional. It does not contribute to verifying the correct patient, procedure, and surgery. This action can lead to distractions and potential errors in patient care.
Choice C rationale
Reviewing the surgical instruments and equipment is important for ensuring that the necessary tools are available and functioning properly, but it does not directly verify the patient’s identity and procedure. This action is more related to the preparation and readiness of the surgical team.
Choice D rationale
Confirming the patient’s identity and procedure is the correct action to verify the correct patient, procedure, and surgery. This involves verifying the patient’s identity using at least two identifiers, confirming the procedure with the patient or their representative, and ensuring that the correct procedure is on the schedule. This step is crucial to prevent wrong-site, wrong- procedure, and wrong-patient surgeries.

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Correct Answer is D

Explanation

Choice A rationale
Assuming the client understands and proceeding with the regimen is incorrect. It does not verify the client’s understanding and could lead to non-compliance or errors in medication administration.
Choice B rationale
Repeating the instructions using different words may help, but it does not ensure that the client has understood the information. It is important to verify understanding through the client’s response.
Choice C rationale
Documenting that the client has full understanding of the regimen without verification is incorrect. It assumes understanding without confirmation, which could lead to potential errors.
Choice D rationale
Asking the client to verbally respond to the questions is the best action. It ensures that the client has understood the information and allows the nurse to clarify any misunderstandings.

A. Feeding a stroke client who has difficulty in swallowing. B. Completing a sterile dressing change to a pressure ulcer. C. Reapplying a condom catheter for a client with urinary incontinence. D. Reinforcing teaching with a client who is learning how to administer insulin.

Correct Answer is B

Explanation

Choice A rationale
Feeding a stroke client who has difficulty in swallowing is a task that requires careful attention to prevent aspiration and choking. While this task is important, it can be delegated to a trained nursing assistant or a licensed practical nurse (LPN) under the supervision of an RN. The RN should focus on tasks that require higher levels of clinical judgment and expertise.
Choice B rationale
Completing a sterile dressing change to a pressure ulcer is a task that requires the expertise and clinical judgment of an RN. Sterile dressing changes involve maintaining a sterile field, assessing the wound, and applying appropriate dressings. This task is critical for preventing infection and promoting wound healing, making it appropriate for the RN to perform.
Choice C rationale
Reapplying a condom catheter for a client with urinary incontinence is a routine procedure that can be delegated to a trained nursing assistant or an LPN. This task does not require the advanced clinical skills and judgment of an RN, allowing the RN to focus on more complex and critical tasks.
Choice D rationale
Reinforcing teaching with a client who is learning how to administer insulin is an important task, but it can be delegated to an LPN under the supervision of an RN. The RN should prioritize tasks that require higher levels of clinical expertise and judgment, such as sterile dressing changes and complex assessments.

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To verify the correct patient, procedure, and surgery, which of the following should be done?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client’s understanding of their medication regimen. The client nods in agreement but does not respond verbally. What is the nurse’s best action?

Correct Answer is D

Explanation

A nurse on a medical-surgical unit has received a report on four clients. Which of the following clients should the nurse assign to the RN?

Correct Answer is B

Explanation

The nurse is preparing a teaching plan for a client who is in the implementation step of the teaching plan. Which of the following actions should the nurse take?

A nurse is preparing a teaching plan for a client who is learning crutch walking. The nurse should identify the following in the teaching plan.

A nurse is changing a wound dressing for a post-op client. Which of the following steps is the nurse performing?

A nurse needs to access a patient’s electronic medical records. What should the nurse do?

A nurse assesses a patient with restraints. The nurse should:

A nurse is considering the use of restraints. The nurse should:

A nurse is providing education to a client newly diagnosed with diabetes. Which strategy is most effective for teaching?

A nurse on a medical-surgical unit has received a report on four clients. There is an LVN, RN, and UAP working. Which of the following clients would be best to assign to the RN?