A. Check the client’s international normalized ratio (INR).
B. Call the laboratory to ensure that the blood is physically at the operating facility.
C. Ensure that the client has given consent to receive blood if a transfusion is necessary.
D. Inform the client that an autologous transfusion does not eliminate the risk for development of bloodborne diseases.
A. Took 50 mg of diphenhydramine (Benadryl) at bedtime
B. Smoked one pack of cigarettes instead of two
C. Drank two 12-ounce glasses of beer
D. Took two aspirins three times
A. International normalized ratio 0.9
B. White blood cell count 8500/mm3
C. Serum potassium level 2.8 mEq/L
D. Serum sodium level 132 mEq/L
A. Nothing; a signed informed consent statement does not need to be obtained from this client.
B. Locate the spouse because the informed consent statement must be signed by the client’s closest relative.
C. Remind the surgeon that the client may sign the informed consent statement with an X in front of two witnesses.
D. Notify the administration because the court must appoint a legal guardian to represent the client’s best interests and give consent for all surgical procedures.
A. Administer digoxin with minimal water and hold the other drugs.
B. Administer all medications parenterally.
C. Administer all medications orally.
D. Hold all medications.
A. Administering the preoperative medication as soon as possible.
B. Assuring the client that his scheduled surgery is routine and that nothing will go wrong.
C. Determining whether the client wants family members to be with him in the holding area.
D. Explaining to the client that this hospital’s surgical area is the most technologically advanced in the city.
A. Obtain an additional sterile sponge to replace the contaminated one and place it on the instrument table.
B. Place the sponge in the circulating area to include in the final count before incision closure.
C. Pick up the sponge and throw it out so no one slips on it.
D. Hand the sponge back to the scrub nurse.
A. Call the anesthesia provider’s attention to this response.
B. Ensure the client is secured to the table.
C. Cover the client with a warm blanket.
D. Document this expected response.
A. The client is Jewish.
B. The estimated blood loss is 150 mL.
C. The client reported an allergy to codeine.
D. The total intraoperative urine output is 25 mL.
A. Compare these values with the client’s preoperative ABG values.
B. Assess the airway and notify the physician.
C. Document the values as the only action.
D. Increase the oxygen flow rate.
A. Assess the client’s respiratory status.
B. Inspect the client’s throat with a penlight.
C. Adjust the position of the drain in the incision.
D. Reassure the client that this is a normal and common problem after anesthesia.
A. Loosen the sutures or staples in the area where crusts have formed.
B. Clean the suture line with sterile saline and apply new dressings.
C. Gently remove the crusts and culture the material beneath.
D. Apply pressure over the incision and notify the surgeon.