83. The scrub nurse and circulating nurse also counted the
sharps and miscellaneous items like instruments before the
procedure. Continuous accounting for these items can
primarily

1 Answer

Answer :

C. Minimize injuries and/or liabilities to sterile
surgical team

Related questions

Description : 81. The scrub and circulating nurse should perform sponge count during which phases of an abdominal hysterectomy procedure? 1. Before the procedure 2. Before closing the endometrium 3. Before closing the peritoneum 4. At the skin closure 5. When the scrub nurse goes for a lunch break

Last Answer : A. All except 5

Description : The clinical instructor assigned a nursing student to assist the operation. When the nursing student entered the OR suite, her curly long hair was not covered by the head cap. What would the circulating nurse ... in all her hair inside the head cap D. Do not allow the nursing student to scrub in

Last Answer : D. Remind the surgeon to scrub again

Description : When the nurse auscultates chest sounds that are harsh and cracking, sounding like two pieces of leather being rubbed together, she records her finding as a) pleural friction rub. A ... wheezes are continuous, musical, high-pitched, whistle-like sounds heard during inspiration and expiration.

Last Answer : a) pleural friction rub. A pleural friction rub is heard secondary to inflammation and loss of lubricating pleural fluid.

Description : 79. A scrub nurse is assisting an emergency Cesarian section on a 39-year-old laundry woman. Before closing the peritoneum, the surgeon asks, How old is the client? Holding the fallopian ... there is no signed consent for tubal ligation. The nurse just demonstrated which of the following?

Last Answer : C. Advocacy

Description : When the intern-in-charge did the skin prep and catheterized the client, the circulating nurse noticed when the intern withdrew the catheter from the vagina. What is your appropriate and ... . Offer to change the catheter C. Alcoholize the tip of the catheter before reinserting the catheter

Last Answer : B. Offer to change the catheter

Description : 85. When the surgeon asked for suture to close the abdomen, sponge count has not been completed. Which of the following is the appropriate action of the scrub nurse?

Last Answer : D. Informs the surgeon that sponge count has not been completed

Description : 84. The circulating nurse will document “surgical count” in which of the following?

Last Answer : B. Intraoperative record

Description : 76. A client is being positioned for radical vulvectomy and a couple of clinical clerks wanted to come in to watch the surgery. The circulating nurse advise them to enter the OR suite later. Foremost, this decision of the nurse is directed towards

Last Answer : D. Preserving privacy

Description : Regarding tolerance and addiction, the nurse understands that a) although patients may need increasing levels of opioids, they are not addicted. Physical tolerance usually occurs in the absence of addiction. b ... pain. Addiction is rare and should never be the primary concern for a patient in pain.

Last Answer : a) although patients may need increasing levels of opioids, they are not addicted. Physical tolerance usually occurs in the absence of addiction.

Description : If tube feeding is continuous, the placement of the feeding tube should be checked a) every shift. Each nurse caring for the patient is responsible for verifying that the tube is located ... is unnecessary to check placement. Even though the feedings are continuous, the placement must be assessed.

Last Answer : a) every shift. Each nurse caring for the patient is responsible for verifying that the tube is located in the proper area for continuous feeding.

Description : The most significant nursing problem related to continuous tube feedings is a) potential for aspiration Because the normal swallowing mechanism is bypassed, consideration of the danger of ... in fat metabolism and lipoprotein synthesis Tube feedings maintain fat metabolism and lipoprotein synthesis.

Last Answer : a) potential for aspiration Because the normal swallowing mechanism is bypassed, consideration of the danger of aspiration must be foremost in the mind of the nurse caring for the patient receiving continuous tube feedings.

Description : 88. When the nurse ensures that the client has plan for continuous care after leaving the health care facility and assists from the transition from one environment to another, she is doing a

Last Answer : A. Discharge plan

Description : The nurse teaches the patient with allergies about anaphylaxis including which of the following statements? a) The most common cause of anaphylaxis is penicillin. The most common ... 30 minutes of exposure involving cardiovascular, respiratory, gastrointestinal, and integumentary organ systems.

Last Answer : a) The most common cause of anaphylaxis is penicillin. The most common cause of anaphylaxis, accounting for about 75% of fatal anaphylactic reactions in the U.S., is penicillin.

Description : The nurse advises the patient undergoing photodynamic therapy (PDT) for macular degeneration to avoid exposure to direct sunlight or bright lights for a) the first five days after the procedure. ... should avoid exposure to direct sunlight or bright lights for the first five days post-treatment.

Last Answer : a) the first five days after the procedure. Photodynamic therapy includes the use of verteporfin, a light-activated dye. The dye within the blood vessels near the surface of the skin could ... days post-treatment. Inadvertent sunlight exposure can lead to severe blistering of the skin and sunburn.

Description : Regarding emergency procedures at the burn scene, the nurse teaches which of the following guidelines? a) Never wrap burn victims in ice. Such procedure may worsen the tissue damage and lead to ... . Such procedures may worsen the tissue damage and lead to hypothermia in patients with large burns.

Last Answer : a) Never wrap burn victims in ice. Such procedure may worsen the tissue damage and lead to hypothermia in patients with large burns.

Description : Which of the following actions is most appropriate for the nurse to take when the patient demonstrates subcutaneous emphysema along the suture line or chest dressing 2 hours after chest ... finding to the physician immediately. Subcutaneous emphysema results from air entering the tissue planes.

Last Answer : a) Record the observation. Subcutaneous emphysema occurs after chest surgery as the air that is located within the pleural cavity is expelled through the tissue opening created by the surgical procedure.

Description : To confirm the diagnosis of cholecystitis, the attending physician ordered a procedure that can detect gallstones as small as 1 - 2 cm and inflammation. The nurse would prepare ... specific diagnostic procedure? A. Cholangiography B. Ultrasonography C. Gall bladder series D. Oral cholecystogram

Last Answer : B. Ultrasonography

Description : A staff nurse was found charting blood glucose result without actually doing the procedure. What is the appropriate initial action of the senior nurse? A. Write and submit an explanation and reprimand as necessary B. Go on leave without pay C. Write an incident report D. Explain to the patient

Last Answer : A. Write and submit an explanation and reprimand as necessary

Description : The nurse who admitted the patient recognizes that Billroth II procedure means A. Enterostomy B. Esophagojejunostomy C. Gastroduodenostomy D. Gastrojejunostomy

Last Answer : D. Gastrojejunostomy

Description : What safety actions does the nurse need to take for a patient on oxygen therapy who is undergoing magnetic resonance imaging (MRI)? a) Ensure that no patient care equipment containing metal enters the ... oxygen tanks) that contains metal or metal parts enters the room where the MRI is located.

Last Answer : a) Ensure that no patient care equipment containing metal enters the room where the MRI is located. For patient safety the nurse must make sure no patient care equipment (e.g., portable oxygen ... literally be pulled away with such great force that they can fly like projectiles towards the magnet.

Description : During which stage of the immune response does the circulating lymphocyte containing the antigenic message return to the nearest lymph node? a) Proliferation Once in the node, the sensitized lymphocyte ... cellular response reaches and couples with the antigen on the surface of the foreign invader.

Last Answer : a) Proliferation Once in the node, the sensitized lymphocyte stimulates some of the resident dormant T and B lymphocytes to enlarge, divide, and proliferate.

Description : To assess circulating oxygen levels the 2001 Kidney Disease Outcomes Quality Initiative: Management of Anemia Guidelines recommends the use of which of the following diagnostic tests? a) Hemoglobin ... gases Arterial blood gases assess the adequacy of oxygenation, ventilation, and acid-base status.

Last Answer : a) Hemoglobin Although hematocrit has always been the blood test of choice to assess for anemia, the 2001 Kidney Disease Outcomes Quality Initiative: Management of Anemia Guidelines, recommend that ... rather than hematocrit measurements, as it is more accurate in assessment of circulating oxygen.

Description : Which of the following disorders is characterized by a group of symptoms produced by an excess of free circulating cortisol from the adrenal cortex? a) Cushing's syndrome The patient ... individual with Hashimoto's disease demonstrates inflammation of the thyroid gland, resulting in hypothyroidism.

Last Answer : a) Cushing’s syndrome The patient with Cushing’s syndrome demonstrates truncal obesity, moon face, acne, abdominal striae, and hypertension.

Description : The patient receiving mitoxantrone (Novantrone) for treatment of secondary progressive multiple sclerosis (MS) is closely monitored for a) leukopenia and cardiac toxicity. Mitoxantrone is an ... d) hypoxia. Patients receiving mitoxantrone are closely monitored for leukopenia and cardiac toxicity.

Last Answer : a) leukopenia and cardiac toxicity. Mitoxantrone is an antineoplastic agent used primarily to treat leukemia and lyphoma but is also used to treat secondary progressive MS. Patients need to have ... ordered and the results closely monitored due to the potential for leukopenia and cardiac toxicity.

Description : Which of the following hormones is primarily responsible for stimulating the production of progesterone? a) Luteinizing hormone Luteinizing hormone is released by the pituitary gland. b) Follicle-stimulating ... , are involved in early development of the follicle and also affect the female libido.

Last Answer : a) Luteinizing hormone Luteinizing hormone is released by the pituitary gland.

Description : When the nurse observes the patient's urine to be orange, she further assesses the patient for a) intake of medication such as phenytoin (Dilantin). Urine that is orange may be caused by intake ... white urine may indicate infection, pyruria, or in the female patient, the use of vaginal creams.

Last Answer : a) intake of medication such as phenytoin (Dilantin). Urine that is orange may be caused by intake of Dilantin or other medications. Orange to amber colored urine may also indicate concentrated urine due to dehydration or fever.

Description : When the patient with known angina pectoris complains that he is experiencing chest pain more frequently even at rest, the period of pain is longer, and it takes less stress for the ... or refractory angina produces severe, incapacitating chest pain that does not respond to conventional treatment.

Last Answer : a) unstable angina. Unstable angina is also called crescendo or pre-infarction angina and indicates the need for a change in treatment.

Description : Before the patient diagnosed with a concussion is released from the Emergency Department, the nurse teaches the family or friends who will be tending to the patient to contact the physician or ... for short periods of time. Difficulty in waking the patient should be reported or treated immediately.

Last Answer : a) vomits. Vomiting is a sign of increasing intracranial pressure and should be reported immediately.

Description : The nurse recognizes which of the following statements as accurately reflecting a risk factor for breast cancer? a) Mother affected by cancer before 60 years of age Risk for breast cancer increases ... in women who consume even one drink daily and doubles among women drinking three drinks daily.

Last Answer : a) Mother affected by cancer before 60 years of age Risk for breast cancer increases twofold if first-degree female relatives (sister, mother, or daughter) had breast cancer.

Description : The nurse teaches the patient with gastroesophageal reflux disease (GERD) which of the following measures to manage his disease? a) Avoid eating or drinking 2 hours before bedtime. The patient should not ... blocks. d) Eat a low carbohydrate diet The patient is instructed to eat a low-fat diet

Last Answer : a) Avoid eating or drinking 2 hours before bedtime. The patient should not recline with a full stomach.

Description : 71. Before the nurse administers the medication, which of the following is most relevant for the nurse to ask?

Last Answer : C. “When was your last menstruation?”

Description : 69. When Marina checked the capillary blood glucose of the client at 6 PM before meals as instructed by the senior nurse, the result showed 65 mg/dl. Which of the following will Marina do first?

Last Answer : C. Check the physician’s order in case CBG is below 70 mg/dl

Description : 62. A 30-year-old client had cholesterol blood test before admission to the hospital. The nurse in charge would teach the family and significant others that the client should exercise to help keep the total cholesterol to a desired level of

Last Answer : A. 140 mg/dl

Description : 42. The nurse is to inject Vitamin B intramuscularly to another elderly client. Before injecting, the nurse explained that the client may feel some discomfort. This is an example of

Last Answer : C. Anticipatory response

Description : Before the nurse can develop a relevant care plan, the nurse understands that in post-laryngectomy, the trachea and the esophagus are permanently separated. Therefore, which of the ... with difficulty of swallowing and breathing D. Permanent tracheostomy created; normal speech is lost

Last Answer : D. Permanent tracheostomy created; normal speech is lost

Description : Which of the following terms is used to describe a procedure in which cervical tissue is removed as result of detection of abnormal cells? a) Conization The procedure is also called ... of tissue by freezing. c) Perineorrhaphy Perineorrhaphy refers to sutural repair of perineal lacerations.

Last Answer : a) Conization The procedure is also called a cone biopsy. Colporrhaphy Colporrhaphy refers to repair of the vagina.

Description : What is to be done with instruments after surgically treating a patient with confirmed diagnosis of hepatitis B,** A. Soak them in hypochlorite solution Milton B. Sterilize, scrub ... Handle them with two pairs of household rubber gloves D. Scrub them with iodine surgical solution

Last Answer : B. Sterilize, scrub and sterilize

Description : Is the Kaboom Scrub Free Continuous Toilet Cleaning System scented or unscented?

Last Answer : The Kaboom cleaning system is unscented, and sits between your toilet and the water supply, adding chemicals to reduce buildup.

Description : The charge nurse reported to the chief nurse that the Demerol 50 cc vial inventory has been incorrect for the last 24 hours. The most appropriate action of the narcotic nurse is: A. Log ... by the narcotic nurse D. Review endorsement of clients who received Demerol within the last 24 hours

Last Answer : D. Review endorsement of clients who received Demerol within the last 24 hours

Description : Which of the following refers to a management tool for organizing personnel, facilities, equipment, and communication for any emergency situation? a) The Incident Command System The ... emergency preparedness required by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO).

Last Answer : a) The Incident Command System The Incident Command System (ICS) is a management tool for organizing personnel, facilities, equipment and communication for any emergency situation. The federal government mandates ... are used at the level of an individual hospital's emergency response plan as well.

Description : Which of the following terms refers to the shaft of the long bone? a) Diaphysis The diaphysis is primarily cortical bone. b) Epiphysis An epiphysis is an end of a long bone. c) Lordosis ... an increase in lumbar curvature of spine. d) Scoliosis Scoliosis refers to lateral curving of the spine.

Last Answer : a) Diaphysis The diaphysis is primarily cortical bone.

Description : Nursing management of the patient with new variant Creutzfeldt-Jakob Disease (nvCJD) includes a) providing supportive care. The nvCJD is a progressive fatal disease with no treatment available. Due to ... B is used in the treatment of fungal encephalitis; no treatment is available for nvCJD.

Last Answer : a) providing supportive care. The nvCJD is a progressive fatal disease with no treatment available. Due to the fatal outcome of nvCJD, nursing care is primarily supportive.

Description : Most skin conditions related to HIV disease may be helped primarily by a) highly active antiretroviral therapy (HAART). The goals of all HIV-related conditions include improvement of CD4 count and ... for the overall treatment of HIV disease; it is not specific for treatment of skin conditions.

Last Answer : a) highly active antiretroviral therapy (HAART). The goals of all HIV-related conditions include improvement of CD4 count and lowering of viral load. Initiation of HAART (highly active ... conditions related to HIV disease. Symptomatic relief will be required until the skin condition improves.

Description : The herpes simplex virus (HSV-1), which produces a cold sore (fever blister), has an incubation period of a) 2-12 days. HSV-1 is transmitted primarily by direct contact with infected secretions. b) ... the incubation period. d) 3-6 months. The time period 3-6 months exceeds the incubation period.

Last Answer : a) 2-12 days. HSV-1 is transmitted primarily by direct contact with infected secretions.

Description : Of the following terms, which is used to refer to the period of time during which mourning a loss takes place? a) Bereavement Bereavement is the period of time during which mourning ... interdisciplinary care and services provided primarily in the home to terminally ill patients and their families.

Last Answer : a) Bereavement Bereavement is the period of time during which mourning a loss takes place.