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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Preparing the sterile field. This is the responsibility of the scrub person, not the circulating nurse. The circulating nurse is responsible for ensuring everything is in place and the environment is safe, but the sterile field is prepared by the scrub person.

B. Pointing out the observation of contamination immediately to the personnel involved. The circulating nurse is responsible for monitoring the sterile field and surgical environment and immediately pointing out any breaches in sterile technique or contamination to ensure patient safety.

C. Assisting with sterile draping of the patient. The scrub person usually assists with draping the patient in a sterile manner. The circulating nurse may provide the necessary sterile drapes but does not typically assist with the draping procedure directly.

D. Maintaining an accurate count of sponges. The responsibility for counting sponges, instruments, and other items used during the surgery belongs to the scrub person, not the circulating nurse.

A. Recovery care B. Postoperative care C. PACU care D. Perioperative care.

Correct Answer is B

Explanation

A. Recovery care: Recovery is a component of postoperative care, but it does not encompass all aspects of care after surgery.

B. Postoperative care: Postoperative care begins after the patient leaves the post-anesthesia care unit (PACU) and continues until full recovery, including wound healing, pain management, and preventing complications.

C. PACU care: PACU care is a phase within postoperative care but does not represent the complete postoperative period.

D. Perioperative care: Perioperative care refers to the entire surgical experience (before, during, and after surgery), not just the final phase of recovery.

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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:

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Naxlex Comprehensive Predictor Exams

The circulating nurse is responsible for:

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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