What is the priority action when the circulating nurse is completing a second verification of the surgical procedure and surgical site? a) Review the complications and allergies with the anesthesiologist. b) Obtain the attention of all members of the surgical team. c) Ask the surgeon if the marked surgical site is correct. d) Discuss the surgical procedure and surgical site with the patient.

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What is the priority action when the circulating nurse is completing a second verification of the surgical procedure and surgical site?

a) Review the complications and allergies with the anesthesiologist.
b) Obtain the attention of all members of the surgical team.
c) Ask the surgeon if the marked surgical site is correct.
d) Discuss the surgical procedure and surgical site with the patient.

 
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A patient has been transported to the operating room for emergent surgery. Which statement by the nurse best supports the need for emergent surgery? a) ”The patient was unresponsive, had a distended abdomen, and unstable vital signs following a motor vehicle accident.” b) ”The patient had severe pain and a laceration to the face with minimal bleeding after being attacked by a dog 1 hour ago.” c) ”The patient had epigastric abdominal pain, an elevated white blood count, and vomiting for 1 day.” d) ”The patient was tachycardic, had progressive weight loss, and bouts of insomnia as a result of hyperthyroidism.”

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A patient has been transported to the operating room for emergent surgery. Which statement by the nurse best supports the need for emergent surgery?

a) ”The patient was unresponsive, had a distended abdomen, and unstable vital signs following a motor vehicle accident.”
b) ”The patient had severe pain and a laceration to the face with minimal bleeding after being attacked by a dog 1 hour ago.”
c) ”The patient had epigastric abdominal pain, an elevated white blood count, and vomiting for 1 day.”
d) ”The patient was tachycardic, had progressive weight loss, and bouts of insomnia as a result of hyperthyroidism.”

 
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Which of the following actions is most appropriate for the nurse to take when the patient demonstrates subcutaneous emphysema along the suture line or chest dressing 2 hours after chest surgery? a) Report the finding to the physician immediately. b) Apply a compression dressing to the area. c) Record the observation. d) Measure the patient’s pulse oximetry.

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Which of the following actions is most appropriate for the nurse to take when the patient demonstrates subcutaneous emphysema along the suture line or chest dressing 2 hours after chest surgery?

a) Report the finding to the physician immediately.
b) Apply a compression dressing to the area.
c) Record the observation.
d) Measure the patient’s pulse oximetry.

 
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The nurse is caring for a postoperative patient with an indwelling urinary catheter. The hourly urinary output at 9 am is 80 mL. The nurse assesses the hourly urinary output at 10 am at 20 mL. What is the highest priority action by the nurse? a) Document the findings. b) Irrigate the catheter with sterile normal saline. c) Reassess the output at 11 am. d) Notify the physician. Show Answer

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The nurse is caring for a postoperative patient with an indwelling urinary catheter. The hourly urinary output at 9 am is 80 mL. The nurse assesses the hourly urinary output at 10 am at 20 mL. What is the highest priority action by the nurse?

a) Document the findings.
b) Irrigate the catheter with sterile normal saline.
c) Reassess the output at 11 am.
d) Notify the physician.
Show Answer

 
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