The scrub nurse is preparing to access a sterilized item; however, the item is missing the appropriate sterilization tag. What action should the nurse take?
1. Substitute the item with another similar item that has been properly sterilized.
2. Use the item.
3. Request another item be brought that has the appropriate sterilization tag.
4. Inform the physician that the item does not have the sterilization tag and use the item.
3
Rationale 1: A similar item may not perform as well during the surgery.
Rationale 2: Using this item may expose the patient to pathogens.
Rationale 3: Intra-operative infections do occur, primarily because no sterilization procedure can completely eliminate all microorganisms. Sterilized items should have the appropriate tag or marking confirming sterilization. The nurse should reduce the patient's risk for infection by requesting another item be brought that has the appropriate sterilization tag.
Rationale 4: The item should not be used, whether the physician is notified about the issue with sterility or not.
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A community mental-health nurse case manager is asked by the local program for aging services to help establish a mental-illness primary prevention program for the elderly residents of an assisted-living apartment complex. An appropriate strategy would be to:
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A nurse in the newborn nursery is monitoring a neonate born to a mother with diabetes mellitus. For which finding does the nurse monitor the neonatemost closely?
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