Osborn, Medical-Surgical Nursing, 2e

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Chapter 18 Question 1 Type: MCSA An omission of information occurred when the nurse anesthetist informed the nurse in the postanesthesia care unit about a patient’s surgical procedure. The risk ... management nurse would review the standards of which process? 1. Handoff communication 2. Discharge summary 3. End-of-shift report 4. Surgical time-out Correct Answer: 1 Rationale 1: Handoff communication describes any pertinent information about the patient and surgical procedure provided to the postanesthesia care unit nurse. This communication is to be free of interruptions and includes a systematic process of verification. Rationale 2: This communication between nurses is not a discharge summary. Rationale 3: End-of-shift report occurs when one group of nurses discusses the status of patients with the nurses assuming their care for the next shift.Rationale 4: A surgical time-out takes place before the start of the surgical procedure. Question 2 Type: MCSA During a surgical procedure, the nurse assesses the patient’s response to anesthesia and determines the amount of pain medication to provide. Which role is this nurse fulfilling? 1. Scrub nurse 2. Certified registered nurse anesthetist 3. Registered nurse first assistant 4. Circulating nurse Correct Answer: 2 Rationale 1: The scrub nurse works directly with the surgeon within the sterile field and passes instruments, sponges, and other items needed during the surgical procedure. Rationale 2: The certified registered nurse anesthetist is an advanced-practice nurse educated to administer anesthesia and provide anesthesia-related care. Rationale 3: The registered nurse first assistant collaborates with the surgeon and performs activities such as handling tissue, providing exposure, using instruments, and suturing wounds.Rationale 4: The circulating nurse observes the surgical team from a broad perspective and assists the team to create and maintain a safe, comfortable environment for surgery. [Show More]

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