While completing item number 4 in the preoperative preparation section of the form provided below, the nurse notes that the patient depends on a hearing aid. What action should the nurse take?
1. Leave the device in the patient's ear and notify the OR nurse of its presence.
2. Remove the device and place it in a denture cup in the patient's room.
3. Remove the device and give it to the patient's family member.
4. Place a piece of tape across the patient's ear and the device.
Correct Answer: 1
The patient must be able to hear and understand instruction that will be part of the universal protocol to reduce surgical errors, so the nurse should leave the device in the patient's ear and notify the OR nurse of its presence. Removing the device and placing it in a denture cup in the room or giving it to the family will make it unavailable to the patient in the OR. Taping the device into the ear might damage it or cause injury to the patient's ear.
You might also like to view...
The nurse is providing discharge teaching for a patient with a large carbuncle on the back of the neck
The physician performs surgical incision and drainage under a local anesthetic and prescribes oral antibiotics and daily dressing changes with topical antibiotic ointment. A prescription for acetaminophen with codeine is also provided. Which of the following statements indicates further teaching is necessary? a. "I will need to increase my fluid and fiber intake to prevent constipation while I'm taking the pain medication." b. "Once the swelling and redness are gone, I can stop taking the antibiotics." c. "I should wash the area gently with antibacterial soap before applying a new dressing." d. "Covering my pillow with plastic and cleaning it every day will help prevent additional infection."
The nurse is caring for a patient who will be discharged from acute care to home. How can the nurse best advocate for this client?
1. Arranging for Meals on Wheels to provide in-home meals 2. Administering pain medication prior to discharge 3. Teaching a client how to take medications at home 4. Taking the client by wheelchair to the car
Which of the following would be least helpful to a novice community health nurse working with vulnerable populations who is feeling overwhelmed and somewhat guilty about his or her personal situation as compared to his or her clients?
A) Setting up an community agency clothing drive collection B) Working for changes in community attitudes C) Sending a personal donation to an agency in the area D) Remaining grounded
Bahiyyah Hamad, a 28-year-old Jordanian woman, is admitted to your unit. Initial cultural assessment reveals a BMI of 30 kg/m2, blood pressure of 170/100, and weight of 215 lbs. Bahiyyah is diagnosed with hypertension
Based on your cultural knowledge, you realize: A. Hypertension is most common among older Jordanian women. B. Hypertension is most common among older Jordanian men. C. Hypertension is common at all ages in both women and men. D. Hypertension is common among young Jordanian women.