To help prevent errors in the surgical procedure, the National Patient Safety Goal instituted a directive that prior to presurgical medication, each patient must:

when still conscious participate in marking the surgical site.

have a photograph of the surgical site in the medical record.

have the unit nurse confirm their identity.

verbally state the location of the surgical site and the expected procedure.

Answer and Explanation

The Correct Answer is A

A. When still conscious, participate in marking the surgical site. The surgical site marking should be done with patient participation before anesthesia to confirm accuracy and prevent wrong-site surgery.

B. Have a photograph of the surgical site in the medical record. Photographs are not a standard requirement for surgical verification.

C. Have the unit nurse confirm their identity. Identity confirmation is necessary but not sufficient to prevent wrong-site surgery. Marking the site is the key step.

D. Verbally state the location of the surgical site and the expected procedure. Verbal confirmation is important but should be combined with physical marking of the site to ensure accuracy.

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Correct Answer is A

Explanation

A. Atelectasis. Atelectasis is the collapse of alveoli due to hypoventilation, which commonly occurs postoperatively, especially in the lung bases.

B. Rales. Rales (crackles) are abnormal lung sounds associated with fluid in the alveoli, commonly seen in conditions like pneumonia or pulmonary edema, not atelectasis.

C. Rhonchi. Rhonchi are low-pitched sounds caused by mucus in the airways, often seen in chronic bronchitis or COPD.

D. Pneumothorax. Pneumothorax presents with absent breath sounds on one side, not bilaterally in the lung bases.

A. ask a family member to take care of it. B. tape it in place on his finger. C. inform him that the hospital cannot be responsible for its loss. D. remind him it must be removed, and lock it in the narcotic cabinet.

Correct Answer is D

Explanation

A. Ask a family member to take care of it. This is a reasonable option, but if a family member cannot be located, other procedures should be followed to secure the ring.

B. Tape it in place on his finger. Taping the ring on the finger is not advisable as it could create a risk of injury during the surgery and would not be secure. Rings should typically be removed or securely stored.

C. Inform him that the hospital cannot be responsible for its loss. While the hospital cannot be responsible for the loss of personal items, this does not address the need to remove or secure the ring before surgery for safety reasons.

D. Remind him it must be removed, and lock it in the narcotic cabinet. This is the most appropriate action. Jewelry should be removed prior to surgery to avoid injury, and it can be safely stored in a secure location such as the narcotic cabinet or a personal locker.

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To help prevent errors in the surgical procedure, the National Patient Safety Goal instituted a directive that prior to presurgical medication, each patient must:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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