The nurse discovers that the signed operative permit has misspelled the patient's name. The nurse must:
allow the patient to be taken to surgery after notifying the circulating nurse.
inform the surgeon of the error.
request a corrected consent form to be signed.
have the new form attached to the old incorrect one and document it.
The Correct Answer is C
A. Allow the patient to be taken to surgery after notifying the circulating nurse. The patient should not proceed to surgery with an incorrect name on the consent form, even if the circulating nurse is informed.
B. Inform the surgeon of the error. While notifying the surgeon is important, the primary action is to obtain a corrected consent form.
C. Request a corrected consent form to be signed. A surgical consent form must be accurate. A new, correctly spelled form should be obtained before surgery to ensure legal and ethical compliance.
D. Have the new form attached to the old incorrect one and document it. Attaching a new form does not resolve the error; a corrected and properly signed form is required before surgery proceeds.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. IV line patency: IV access is important for fluid and medication administration, but it is not the highest priority immediately postoperatively.
B. Urine output: Monitoring urine output is important for assessing kidney function and fluid balance, but airway management takes precedence.
C. Airway patency: The priority in the immediate postoperative period is maintaining a patent airway, as patients are at risk for respiratory complications such as obstruction, hypoxia, and aspiration due to anesthesia effects.
D. Wound drainage: Assessing wound drainage is necessary to monitor for excessive bleeding or infection, but it is not the top priority compared to airway patency.
Correct Answer is B
Explanation
A. Irrigate the indwelling urinary catheter. There is no indication that the catheter is obstructed. Catheter irrigation should only be performed if there is a suspected blockage (e.g., absent urine output, blood clots).
B. Notify the surgeon of the findings. Urine output of less than 30 mL per hour is concerning for decreased renal perfusion, possibly due to hypovolemia or other postoperative complications. The provider should be notified for further evaluation and intervention.
C. Increase the flow rate of the IV for 10 to 15 minutes. Increasing IV fluids may help improve urine output, but it should only be done based on a provider’s order and after assessing the patient’s volume status.
D. Apply manual pressure to the patient's bladder. This action is inappropriate unless the patient has urinary retention, which should be confirmed through assessment before attempting bladder compression
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