Author Question: A circulating nurse has transferred an older client to the operating room. What action by the nurse ... (Read 55 times)

a0266361136 · **on:** Jun 25, 2018

A circulating nurse has transferred an older client to the operating room. What action by the nurse is most important for this client?

a. Allow the client to keep hearing aids in until anesthesia begins.
b. Pad the table as appropriate for the surgical procedure.
c. Position the client for maximum visualization of the site.
d. Stay with the client, providing emotional comfort and support.

Question 2

A client is scheduled for a below-the-knee amputation. The circulating nurse ensures the proper side is marked prior to the start of surgery. What action by the nurse is most appropriate?

a. Facilitate marking the site with the client and surgeon.
b. Have the client mark the operative site.
c. Mark the operative site with a waterproof marker.
d. Tell the surgeon it is time to mark the surgical site.

katara · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: A
Many older clients have sensory loss. To help prevent disorientation, facilities often allow older clients to keep their eyeglasses on and hearing aids in until the start of anesthesia. The other actions are appropriate for all operative clients.

Answer to Question 2

ANS: A
The Joint Commission now recommends that both the client and the surgeon mark the operative site together in order to prevent wrong-site surgery. The nurse should facilitate this process.