Which function or task during a surgical procedure is the responsibility of both the scrub and circulating nurses?

Assisting in the administration of blood products.

Counting the surgical sponges and instruments.

Monitoring the traffic in the operating room.

Monitoring the client’s cardiopulmonary status.

Answer and Explanation

The Correct Answer is B

Choice A reason: Assisting in the administration of blood products is typically the responsibility of the circulating nurse. The circulating nurse manages the overall environment of the operating room and ensures that all necessary supplies, including blood products, are available and administered correctly.

Choice B reason: Counting the surgical sponges and instruments is a shared responsibility of both the scrub and circulating nurses. This task is crucial to ensure that no surgical instruments or sponges are left inside the patient, which can prevent serious post-operative complications. The scrub nurse handles the instruments directly, while the circulating nurse verifies the counts, ensuring accuracy and safety.

Choice C reason: Monitoring the traffic in the operating room is primarily the responsibility of the circulating nurse. The circulating nurse ensures that the operating room environment remains sterile and that only authorized personnel are present.

Choice D reason: Monitoring the client’s cardiopulmonary status is typically the responsibility of the anesthesiologist or nurse anesthetist, not the scrub or circulating nurses. These professionals are trained to manage the patient’s vital signs and anesthesia during surgery.

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

Explanation

Choice A reason:

Avoiding playing with the grandchildren is not necessary for clients with emphysema. While it is important to avoid strenuous activities that can exacerbate symptoms, engaging in light activities and spending time with family can improve mental health and overall well-being.

Choice B reason:

Small frequent meals are recommended for clients with emphysema. Eating smaller meals more frequently can help prevent bloating and discomfort, which can make breathing more difficult. This approach also ensures that the client maintains adequate nutrition without overexerting themselves during meals.

Choice C reason:

Proper use of home oxygen as prescribed is crucial for clients with emphysema. Oxygen therapy can help maintain adequate oxygen levels in the blood, reduce shortness of breath, and improve overall quality of life. Clients should be educated on how to use their oxygen equipment correctly and consistently.

Choice D reason:

Smoking cessation is the most important step for clients with emphysema. Smoking is the primary cause of emphysema, and quitting smoking can slow the progression of the disease, improve lung function, and enhance overall health. Support and resources for smoking cessation should be provided.

Choice E reason:

The importance of a regular exercise program cannot be overstated for clients with emphysema. Regular exercise, particularly pulmonary rehabilitation programs, can improve lung function, increase endurance, and enhance the ability to perform daily activities. Exercise programs should be tailored to the client’s abilities and limitations.

A. Increase blood flow back to your heart. B. Will promote expanding the left lung. C. Prevent stiffening and loss of function. D. Rebuild the muscle that was removed.

Correct Answer is C

Explanation

Choice A reason: Increasing blood flow back to the heart is not the primary reason for performing arm and shoulder exercises after a thoracotomy. While exercise can improve circulation, the main goal of these specific exercises is to maintain mobility and prevent complications related to immobility.

Choice B reason: Promoting the expansion of the left lung is not the primary purpose of arm and shoulder exercises. While deep breathing exercises and the use of an incentive spirometer are crucial for lung expansion and preventing atelectasis, arm and shoulder exercises focus more on maintaining joint and muscle function.

Choice C reason: Preventing stiffening and loss of function is the primary reason for performing arm and shoulder exercises after a thoracotomy. These exercises help maintain the range of motion in the shoulder and arm, prevent joint stiffness, and reduce the risk of muscle atrophy. Postoperative immobility can lead to significant functional impairments, and these exercises are essential for a smooth recovery.

Choice D reason: Rebuilding the muscle that was removed is not accurate in this context. Thoracotomy involves accessing the thoracic cavity, and while muscle tissue may be affected, the primary goal of postoperative exercises is to maintain existing muscle function and prevent stiffness, not to rebuild muscle tissue.

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Which function or task during a surgical procedure is the responsibility of both the scrub and circulating nurses?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client recently diagnosed with emphysema. What information, regarding health maintenance, would the nurse include in teaching sessions? (SELECT ALL THAT APPLY)

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

Explanation

The nurse is assisting the client with arm and shoulder exercises on the first post-op day following a right-sided thoracotomy. The client reports pain with the exercise and wants to know why they must be performed. What explanation should the nurse provide? The exercises:

Correct Answer is C

Explanation

The nurse is preparing to perform tracheostomy care on a client diagnosed with COPD. Which action should the nurse complete first?

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Which function or task during a surgical procedure is the responsibility of both the scrub and circulating nurses?

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