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 ["B","C","D"]
Explanation
Choice A rationale
Placing all beds in the high position increases the risk of injury if a patient falls out of bed. It is generally recommended to keep beds in the lowest position to minimize the distance a patient would fall, thereby reducing the risk of injury.
Choice B rationale
Using color-coded wristbands is an effective way to quickly communicate a patient’s fall risk status to all healthcare providers. This visual cue helps ensure that all staff members are aware of the patient’s fall risk and can take appropriate precautions.
Choice C rationale
Conducting frequent rounds of patient rooms allows healthcare providers to regularly check on patients, address their needs, and identify any potential fall hazards. This proactive approach helps in preventing falls by ensuring that patients are safe and their environment is free of obstacles.
Choice D rationale
Providing non-skid socks helps prevent slips and falls by giving patients better traction when walking. These socks are especially useful for patients who may be unsteady on their feet or are at a higher risk of falling.
Correct Answer is C
Explanation
Choice A rationale
This statement does not provide a recommendation for the next steps in the patient’s care. The R step in SBAR stands for Recommendation, which involves suggesting what should be done to address the situation. Stating that there are no provider’s prescriptions available does not fulfill this requirement.
Choice B rationale
This statement is more appropriate for the Assessment step, where the nurse describes the patient’s current condition. The R step should focus on what actions need to be taken next, not just the patient’s current state.
Choice C rationale
This statement is correct because it provides a clear recommendation for the next steps in the patient’s care. The R step in SBAR is meant to suggest what should be done to address the situation, and reviewing the client’s orders is a specific action that can be taken.
Choice D rationale
This statement is more appropriate for the Situation or Background steps, where the nurse describes what has happened to the patient. The R step should focus on what actions need to be taken next, not just the patient’s history.
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