A registered nurse is assisting the surgeon in conducting an exploratory laparoscopy. The nurse holds the tissue retractors, biopsies tissue, and sutures the patient at the conclusion of the case. Which role is this nurse fulfilling?
1. Circulating nurse
2. Scrub nurse
3. Certified registered nurse anesthetist
4. Registered nurse first assistant
4
Rationale 1: 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.
Rationale 2: 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 3: The certified registered nurse anesthetist is an advanced-practice nurse educated to administer anesthesia and provide anesthesia-related care.
Rationale 4: The registered nurse first assistant collaborates with the surgeon and performs activities such as handling tissue, providing exposure, using instruments, and suturing wounds.
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The court found a nurse manager liable for failure to warn. Which option reflects a failure to warn scenario?
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A patient who has a history of ongoing opioid abuse is hospitalized for surgery. After a visit by a friend, the nurse finds that the patient is unresponsive with pinpoint pupils. Which prescribed medication will the nurse administer immediately?
a. Naloxone (Narcan) b. Diazepam (Valium) c. Clonidine (Catapres) d. Methadone (Dolophine)