A nurse manager is developing an in-service about The Joint Commission's National Patient Safety Goals for a group of surgical nurses. Which of the following information regarding Universal Protocol should the nurse include in the in-service?

Provide information about the risks of a surgical procedure to the client.

Request the client sign the informed consent form after administering a preoperative sedative.

Mark the client's surgical site with a small strip of nonporous tape.

Call a "time out" to verify client identity before starting a surgical procedure.

Answer and Explanation

The Correct Answer is D

A. Provide information about the risks of a surgical procedure to the client. Providing risk information is part of informed consent, not specifically part of Universal Protocol.
B. Request the client sign the informed consent form after administering a preoperative sedative. Informed consent should be obtained before administering sedatives to ensure the client is fully aware and able to consent.
C. Mark the client's surgical site with a small strip of nonporous tape. The surgical site should be marked with a permanent marker to ensure it remains visible and clear throughout the surgical preparation and procedure.
D. Call a "time out" to verify client identity before starting a surgical procedure. This is correct. The Universal Protocol includes a "time out" to verify the correct patient, procedure, and site before starting the surgery.

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Correct Answer is D

Explanation

A. Methadone Methadone is an opioid used primarily for severe pain and opioid dependency.
B. Hydrocodone Hydrocodone is an opioid used for moderate to severe pain but not specifically for neuropathic pain.
C. Morphine Morphine is an opioid used for severe pain but not specifically for neuropathic pain.
D. Gabapentin Gabapentin is an anticonvulsant medication that is commonly used to treat neuropathic pain, making it appropriate for diabetic neuropathy.

A. Offer to give the client a back massage using warm lotion. B. Explain that the client might not receive another dose for a few hours. C. Ask the client about his previous pain relief measures. D. Request that the provider prescribe another dose of opioid analgesia.

Correct Answer is C

Explanation

A. Offer to give the client a back massage using warm lotion. This is a non-pharmacological intervention but may not address the client's acute pain effectively.
B. Explain that the client might not receive another dose for a few hours. This does not address the client's immediate need for pain relief.
C. Ask the client about his previous pain relief measures. This allows the nurse to assess the effectiveness of previous interventions and understand the client's pain history.
D. Request that the provider prescribe another dose of opioid analgesia. This might be necessary, but assessment of the client's pain and relief measures should be conducted first.

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A nurse manager is developing an in-service about The Joint Commission's National Patient Safety Goals for a group of surgical nurses. Which of the following information regarding Universal Protocol should the nurse include in the in-service?

Nursing Test Bank

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