During a time-out procedure before surgery, what should the nurse do if there is a discrepancy?
Notify the surgeon and clarify the discrepancy before proceeding.
Proceed with the planned procedure as written.
Discuss the discrepancy with the patient after the surgery.
Ignore the discrepancy as it is not significant.
The Correct Answer is A
Choice A rationale
Notifying the surgeon and clarifying the discrepancy before proceeding is crucial to ensure patient safety. The time-out procedure is designed to prevent wrong-site, wrong-procedure, and wrong-person surgeries. Any discrepancy must be resolved to avoid potential harm to the patient.
Choice B rationale
Proceeding with the planned procedure as written without addressing the discrepancy can lead to serious errors, such as performing surgery on the wrong site or patient. This action is not aligned with the safety protocols established by the Joint Commission.
Choice C rationale
Discussing the discrepancy with the patient after the surgery does not prevent the error from occurring. The purpose of the time-out procedure is to catch and correct any discrepancies before the surgery begins.
Choice D rationale
Ignoring the discrepancy as it is not significant undermines the entire purpose of the time-out procedure, which is to ensure all details are correct before proceeding with surgery. Even seemingly minor discrepancies can lead to major errors.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Discussing the benefits of losing weight is important, but it is not sufficient on its own. While understanding the benefits can motivate the client, it does not provide the practical steps needed to achieve weight loss. The client needs actionable information and guidance to make sustainable changes.
Choice B rationale
Creating a diet plan for the client can be helpful, but it may not be the most effective approach. A diet plan needs to be personalized and adaptable to the client’s preferences, lifestyle, and medical conditions. Providing learning materials empowers the client to make informed choices and develop their own plan, which is more sustainable in the long term.
Choice C rationale
Encouraging the client to share their feelings is supportive and can help address emotional factors related to weight loss. However, it does not directly provide the practical knowledge and skills needed to achieve weight loss. Learning materials on necessary habits offer concrete steps and strategies for the client to follow.
Choice D rationale
Providing learning materials on necessary habits is the most comprehensive approach. It equips the client with the knowledge and tools needed to make informed decisions about their diet, exercise, and lifestyle. This empowers the client to take control of their weight loss journey and make sustainable changes.
Correct Answer is B
Explanation
Choice A rationale
Ignoring the error, even if it does not affect patient care, is incorrect. Ignoring errors can lead to a culture of complacency and potentially more significant errors in the future. It is essential to address all errors to maintain accurate records and ensure patient safety.
Choice B rationale
Drawing a single line through the error, initialing, and dating it is the correct action. This method maintains the integrity of the medical record while clearly indicating that an error was made and corrected. It ensures transparency and accountability in documentation.
Choice C rationale
Leaving the error as is and informing the nurse manager is not the best practice. While informing the nurse manager is important, the error should be corrected in the medical record to prevent any potential confusion or miscommunication.
Choice D rationale
Erasing the incorrect entry and writing the correct one is incorrect. Erasing or obliterating entries in a medical record is not allowed as it can be seen as tampering with the record. It is crucial to maintain the original entry and make corrections transparently.
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