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 A

Explanation

A. When still conscious, participate in marking the surgical site. The surgical site marking should be done with patient participation before anesthesia to confirm accuracy and prevent wrong-site surgery.

B. Have a photograph of the surgical site in the medical record. Photographs are not a standard requirement for surgical verification.

C. Have the unit nurse confirm their identity. Identity confirmation is necessary but not sufficient to prevent wrong-site surgery. Marking the site is the key step.

D. Verbally state the location of the surgical site and the expected procedure. Verbal confirmation is important but should be combined with physical marking of the site to ensure accuracy.

A. Emergency B. Palliative C. Reconstructive D. Curative

Correct Answer is C

Explanation

A. Emergency. Emergency surgeries are performed immediately to treat life-threatening conditions. Breast implants following a mastectomy are not an emergency, but rather a planned procedure.

B. Palliative. Palliative surgeries are performed to relieve symptoms or improve quality of life, often in terminal illness. While reconstructive surgery after a mastectomy can improve a patient's quality of life, it is not primarily palliative.

C. Reconstructive. Reconstructive surgery is performed to restore or improve the function or appearance of a body part, particularly after trauma or disease. Breast implants after a mastectomy are classified as reconstructive surgery because they aim to restore the appearance of the breast after its removal.

D. Curative. Curative surgeries are intended to remove or treat a disease to cure the patient. While breast implants can improve a patient's appearance after a mastectomy, they do not cure any underlying disease or condition.

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

To help prevent errors in the surgical procedure, the National Patient Safety Goal instituted a directive that prior to presurgical medication, each patient must:

Correct Answer is A

Explanation

The patient is to undergo breast implants following a total mastectomy. This surgery is classified as:

Correct Answer is C

Explanation

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