A nurse is scheduling a client for surgery.
Which of the following actions should the nurse take to obtain precertification for the client to have surgery?
Inform the client of the need to pre-pay for the consent of authorization.
Contact the client's insurance carrier to obtain authorization.
Notify the provider to obtain approval for the surgery.
Witness the client sign the surgical consent form.
The Correct Answer is B
Choice A rationale:
The nurse should not inform the client of the need to pre-pay for the consent of authorization. Precertification for surgery is related to obtaining approval from the client's insurance provider and not about pre-payment.
Choice B rationale:
Contacting the client's insurance carrier to obtain authorization is the correct action to take when obtaining precertification for surgery. Many insurance companies require pre-authorization for surgical procedures to ensure coverage and to confirm that the procedure is medically necessary. This step is essential to prevent financial burdens on the client and ensure they have coverage for the surgery.
Choice C rationale:
Notifying the provider to obtain approval for the surgery is not the nurse's responsibility in the context of precertification. The primary responsibility lies with obtaining approval from the client's insurance carrier.
Choice D rationale:
Witnessing the client sign the surgical consent form is an essential step in the surgical preparation process but is not the same as obtaining precertification. Precertification involves confirming insurance coverage and approval for the surgery, which is the responsibility of the insurance carrier, not the client's consent.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The correct answer is Choice C. Secure the restraints using a quick-release tie.
Choice A rationale: Anticipate removing the restraints every 4 hr. This is incorrect because restraints should be removed more frequently to assess the client's skin integrity, circulation, and overall need for continued restraint. Best practices typically suggest removing restraints every 2 hours for these checks.
Choice B rationale: Ensure four fingers fit under the restraints to prevent constriction. This is incorrect as well. The correct practice is to ensure that only two fingers can fit under the restraints. Allowing four fingers may lead to improper restraint, increasing the risk of injury or the restraint slipping off.
Choice C rationale: Secure the restraints using a quick-release tie. This is correct because quick-release ties are designed to allow rapid removal of restraints in case of emergency, ensuring the client's safety while also maintaining restraint effectiveness.
Choice D rationale: Secure the restraints to the lowest bar of the side rail. This is incorrect because restraints should never be secured to a movable part like the side rail, as it can cause injury if the rail is adjusted. Restraints should be secured to the bed frame, which is stable and stationary.
Correct Answer is B
Explanation
The correct answer is Choice B.
Choice A rationale: Advanced beginners are newly graduated nurses who rely on limited experience and follow guidelines strictly. They cannot yet mentor others effectively because they lack the necessary comprehensive knowledge and practical skills for precepting new staff members.
Choice B rationale: Proficient nurses have a deep understanding of clinical situations through experience. They can recognize patterns, predict outcomes, and provide effective mentorship as preceptors. They are skilled at guiding new staff members and improving their clinical performance.
Choice C rationale: Expert nurses possess an intuitive grasp of clinical situations and make decisions rapidly. While they are highly skilled, the role of preceptor is generally better suited to proficient nurses who are adept at breaking down complex tasks for new learners.
Choice D rationale: Competent nurses have a few years of practice and can plan and manage patient care efficiently. However, they are not yet at the stage where they can fluidly adapt to varying situations or mentor new staff as effectively as proficient nurses.
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