A 16-year-old boy injured in a motorcycle accident is unconscious and cannot sign the emergency surgical consent form; no family members can be located. The nurse anticipates that:

the opinion of a second surgeon is sought regarding the necessity of the surgery.

the surgeon will write a detailed note about the need for surgery and a registered nurse will then sign the consent.

the hospital social worker can sign the permit.

the hospital attorney must authorize the surgery and sign the consent form.

Answer and Explanation

The Correct Answer is A

A. The opinion of a second surgeon is sought regarding the necessity of the surgery. This is an appropriate course of action when consent cannot be obtained from the patient or family, especially in emergency situations to ensure the necessity of surgery.

B. The surgeon will write a detailed note about the need for surgery and a registered nurse will then sign the consent. RNs do not have the legal authority to sign surgical consent forms, which should be signed by a legal guardian or the healthcare provider in emergencies when appropriate.

C. The hospital social worker can sign the permit. Social workers do not have the authority to sign consent forms. Consent must typically come from a legally authorized individual.

D. The hospital attorney must authorize the surgery and sign the consent form. The hospital attorney is not typically involved in emergency decision-making about surgery unless there are significant legal concerns, which is not the case in this scenario.

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Correct Answer is A

Explanation

A. Are communications links with personnel outside the room. Both the scrub person and the circulating nurse serve as communication links with the personnel outside the operating room. The scrub person may communicate regarding sterile equipment needs, while the circulating nurse communicates about patient status and surgical progress.

B. Set up initial sterile instruments and supplies. This is the responsibility of the scrub person, not the circulating nurse. The scrub person ensures that sterile instruments are ready and that the sterile field is set up properly.

C. Advise the team of breaks in sterile technique. Only the scrub person is typically responsible for maintaining sterile technique and calling attention to any breaches in sterility. The circulating nurse may assist with ensuring the environment is safe, but the scrub person is directly in charge of sterile technique.

D. Position lights on step stools. Positioning the lights is the responsibility of the circulating nurse. The scrub person’s role is more focused on the sterile field and assisting with surgical instruments.

A. True B. False

Correct Answer is D

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.

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A 16-year-old boy injured in a motorcycle accident is unconscious and cannot sign the emergency surgical consent form; no family members can be located. The nurse anticipates that:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A similarity of roles for the scrub person and the circulating nurse is that they both:

Correct Answer is A

Explanation

General Anesthesia is when a nerve block such as a spinal, caudal, epidural, or peripheral block is administered. (Write True or False)

Correct Answer is D

Explanation

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

The illiterate patient signs the surgical consent form with an "X." The nurse is aware that this "X" is:

The patient requires surgery to remove a bullet from his neck. This surgery is classified as:

Which of the following should the nurse recognize as a sign of possible infection in a postoperative client? (Select all that apply.)

A patient who has returned to the surgical nursing unit from the post-anesthesia care unit (PACU) is drowsy and requires verbal stimulation to remain aroused. The best position to maintain an airway for this patient is:

A patient undergoing preadmission testing before same day surgery asks how long he will remain in the recovery area before being allowed to go home. The nurse's most informative response would be:

A nurse is collecting data from a client who is 2 days postoperative. The nurse auscultates bilateral breath sounds but absent breath sounds in the bases. The nurse should suspect which of the following postoperative complications?

The circulating nurse is responsible for: