When the transport person comes to take the patient to surgery, it is most important that the nurse

list the patient off the unit on the computer.

tell the family how to get to the surgical waiting room.

assist with the transfer of the patient to the stretcher.

verify the patient's ID number with the medical record and transport slip.

Answer and Explanation

The Correct Answer is D

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.

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Correct Answer is B

Explanation

A. Nausea and vomiting. Nausea and vomiting can occur after surgery due to anesthesia and other factors. However, it is more common in patients of all ages who undergo certain types of surgery. Though these groups may be more susceptible, this is not the most specific risk.

B. Delayed healing. Both very young and older adult patients are at higher risk for delayed healing. In the very young, the immune system and cell regeneration processes are still developing, while in older adults, decreased circulation, chronic conditions, and slower cellular regeneration can impair wound healing.

C. Anorexia. Anorexia is not specific to surgical patients. While appetite loss can occur postoperatively, it is not as universally problematic in young or older surgical patients as delayed healing.

D. Hydration issues. Hydration issues can occur in all patients, especially following surgery, but they are particularly critical for the very young (due to smaller body mass and high fluid turnover) and the elderly (due to decreased kidney function and total body water). However, this is not as universally prevalent as delayed healing.

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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When the transport person comes to take the patient to surgery, it is most important that the nurse

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is aware that in both the very young and the older adult surgical patient, the risk is much higher for:

Correct Answer is B

Explanation

A similarity of roles for the scrub person and the circulating nurse is that they both:

Correct Answer is A

Explanation

After the surgery, the patient is transferred to the PACU. Functions of the nurse in the PACU are to

A nurse is caring for a client who is postoperative and has a prescription for a full liquid diet. The nurse enters the client's room to find he has just received a dietary tray. Which of the following items on the tray should the nurse remove?

A patient who has returned to the surgical nursing unit from the post-anesthesia care unit (PACU) is drowsy and requires verbal stimulation to remain aroused. The best position to maintain an airway for this patient is:

The patient requires surgery to remove a bullet from his neck. This surgery is classified as:

A nurse is caring for a client who is postoperative and has a prescription for a clear liquid diet. The nurse enters the client's room to find he has just received a dietary tray. Which of the following items on the tray should the nurse remove?

A nurse is caring for a client who is postoperative. When helping to manage the client's pain, which of the following principles should the nurse apply? (Select all that apply.)

A nurse is reinforcing preoperative teaching with a client who will undergo abdominal surgery. The nurse explains that the client will wear antiembolism stockings after the procedure. When the client asks what the stockings do, which of the following responses should the nurse make?

The nurse preparing the surgical patient's room for the patient's return from the post anesthesia unit should: (Select all that apply.)