The circulating nurse is responsible for:

preparing the sterile field.

pointing out the observation of contamination immediately to the personnel involved.

assisting with sterile draping of the patient.

maintaining an accurate count of sponges.

Answer and Explanation

The Correct Answer is B

A. Preparing the sterile field. This is the responsibility of the scrub person, not the circulating nurse. The circulating nurse is responsible for ensuring everything is in place and the environment is safe, but the sterile field is prepared by the scrub person.

B. Pointing out the observation of contamination immediately to the personnel involved. The circulating nurse is responsible for monitoring the sterile field and surgical environment and immediately pointing out any breaches in sterile technique or contamination to ensure patient safety.

C. Assisting with sterile draping of the patient. The scrub person usually assists with draping the patient in a sterile manner. The circulating nurse may provide the necessary sterile drapes but does not typically assist with the draping procedure directly.

D. Maintaining an accurate count of sponges. The responsibility for counting sponges, instruments, and other items used during the surgery belongs to the scrub person, not the circulating nurse.

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Correct Answer is D

Explanation

A. List the patient off the unit on the computer. Listing the patient off the unit in the computer is important for tracking, but this is not the most immediate priority when transporting the patient. Verifying the patient's identity is more crucial to prevent errors in patient care.

B. Tell the family how to get to the surgical waiting room. While it is helpful to guide the family to the surgical waiting room, the nurse's primary responsibility when the transport person arrives is to ensure the patient is correctly identified and safely transferred.

C. Assist with the transfer of the patient to the stretcher. Assisting with the transfer is important for patient safety, but the most important step is verifying the patient's identity to ensure the correct procedure is being performed.

D. Verify the patient's ID number with the medical record and transport slip. The most important task when the transport person arrives is to verify the patient's identity to prevent errors. The nurse must confirm the patient’s identity by checking the ID number against the medical record and transport slip before the patient is transferred to avoid any mistakes.

A. Are communications links with personnel outside the room B. Set up initial sterile instruments and supplies C. Advise the team of breaks in sterile technique D. Position lights on step stools

Correct Answer is A

Explanation

A. Are communications links with personnel outside the room. Both the scrub person and the circulating nurse serve as communication links with the personnel outside the operating room. The scrub person may communicate regarding sterile equipment needs, while the circulating nurse communicates about patient status and surgical progress.

B. Set up initial sterile instruments and supplies. This is the responsibility of the scrub person, not the circulating nurse. The scrub person ensures that sterile instruments are ready and that the sterile field is set up properly.

C. Advise the team of breaks in sterile technique. Only the scrub person is typically responsible for maintaining sterile technique and calling attention to any breaches in sterility. The circulating nurse may assist with ensuring the environment is safe, but the scrub person is directly in charge of sterile technique.

D. Position lights on step stools. Positioning the lights is the responsibility of the circulating nurse. The scrub person’s role is more focused on the sterile field and assisting with surgical instruments.

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The circulating nurse is responsible for:

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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