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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Metabolic alkalosis is characterized by an elevated pH and an increased bicarbonate (HCO3) level. In this case, the pH is elevated (7.51), but the bicarbonate level is within the normal range (24 mEq/L), indicating that the alkalosis is not metabolic in origin.
Choice B reason: Metabolic acidosis is characterized by a decreased pH and a decreased bicarbonate (HCO3) level. In this scenario, the pH is elevated, not decreased, and the bicarbonate level is normal, ruling out metabolic acidosis.
Choice C reason: Respiratory alkalosis is characterized by an elevated pH and a decreased partial pressure of carbon dioxide (PaCO2). The given values show a pH of 7.51 (elevated) and a PaCO2 of 28 mmHg (decreased), which are indicative of respiratory alkalosis. This condition often occurs in the early stages of an asthma attack due to hyperventilation, which causes excessive exhalation of CO2.
Choice D reason: Respiratory acidosis is characterized by a decreased pH and an increased PaCO2. In this case, the pH is elevated, and the PaCO2 is decreased, which is the opposite of what is seen in respiratory acidosis.
Correct Answer is C
Explanation
Choice A reason:
Have a pulse oximetry reading of 95% or greater by discharge: While maintaining a pulse oximetry reading of 95% or greater is important, it may not fully address the client’s activity intolerance. Pulse oximetry measures the oxygen saturation in the blood, and normal readings typically range from 95% to 100%. However, achieving this reading alone does not ensure that the client can perform activities without experiencing dyspnea or fatigue.
Choice B reason:
Exhibit a respiratory rate of 12-20/minute by discharge: A normal respiratory rate for adults is between 12 and 20 breaths per minute. While this is a good indicator of respiratory function, it does not directly address the client’s ability to perform self-care activities without dyspnea. The goal should focus on the client’s functional ability rather than just physiological parameters.
Choice C reason:
Perform self-care activity without dyspnea by discharge: This outcome directly addresses the client’s activity intolerance. Dyspnea, or difficulty breathing, is a significant symptom that affects the client’s ability to perform daily activities. By setting a goal for the client to perform self-care activities without dyspnea, the care plan focuses on improving the client’s functional status and quality of life.
Choice D reason:
Have clear breath sounds bilaterally by discharge: Clear breath sounds are an important indicator of improved lung function and resolution of pneumonia. However, this outcome does not specifically address the client’s activity intolerance. While clear breath sounds are desirable, the primary goal should be to ensure the client can perform activities without experiencing dyspnea.
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