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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Speaking loudly can be counterproductive as it may distort the sound and make it harder for the client to understand. Using hand gestures can be helpful, but it should be combined with clear, simple sentences.
Choice B rationale
Standing with the light behind you can create shadows on your face, making it difficult for the client to read your lips. It is better to face the client directly with good lighting on your face.
Choice C rationale
Using short, simple sentences is effective for communicating with clients who are hard of hearing. It helps ensure that the client can understand the information being conveyed.
Choice D rationale
Avoiding the use of written communication is not advisable. Written communication can be a helpful tool for clients who are hard of hearing, as it provides a visual aid to support verbal communication.
Correct Answer is B
Explanation
Choice A rationale
The affective domain involves emotions and attitudes, which is not the primary focus when teaching a newly diagnosed diabetic patient about their condition.
Choice B rationale
The cognitive domain involves knowledge and understanding. Teaching a newly diagnosed diabetic patient involves providing information about the disease, its management, and self- care practices, which falls under the cognitive domain.
Choice C rationale
The psychomotor domain involves physical skills, which is not the primary focus in this context.
Choice D rationale
The behavioral domain is not a recognized learning domain in this context. The correct domain for teaching a newly diagnosed diabetic patient is cognitive.
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