While completing the preoperative checklist, a patient who is almost ready for transport to the operating room states that he does not want to remove his wedding band. The nurse should:
ask a family member to take care of it.
tape it in place on his finger.
inform him that the hospital cannot be responsible for its loss.
remind him it must be removed, and lock it in the narcotic cabinet.
The Correct Answer is D
A. Ask a family member to take care of it. This is a reasonable option, but if a family member cannot be located, other procedures should be followed to secure the ring.
B. Tape it in place on his finger. Taping the ring on the finger is not advisable as it could create a risk of injury during the surgery and would not be secure. Rings should typically be removed or securely stored.
C. Inform him that the hospital cannot be responsible for its loss. While the hospital cannot be responsible for the loss of personal items, this does not address the need to remove or secure the ring before surgery for safety reasons.
D. Remind him it must be removed, and lock it in the narcotic cabinet. This is the most appropriate action. Jewelry should be removed prior to surgery to avoid injury, and it can be safely stored in a secure location such as the narcotic cabinet or a personal locker.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is B
Explanation
General anesthesia involves the administration of inhaled or intravenous agents that induce unconsciousness, analgesia, and muscle relaxation. Nerve blocks (spinal, caudal, epidural, and peripheral blocks) are forms of regional anesthesia, not general anesthesia.
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.
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