Which of the following items used in the perioperative environment is an ignition source for a surgical fire?
a. Active electrode.
b. Alcoholic skin prep solution.
c. Surgical sponge.
d. Carbon dioxide gas bottle that is used during laparoscopic surgery.
ANS: A
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A patient had a colon resection for removal of a cancerous tumor. Postoperatively, on the surgical floor which of the following activities would the nurse perform for the purpose of decreasing the risk of postoperative complications? Choose all that apply
1) Assist the patient to turn, breathe deeply, and cough every 2 hours. 2) Teach the patient about the type of tumor removed. 3) Assess the drainage from the surgical site. 4) Monitor vital signs on a regular basis.
The nurse is instructing a nursing student in proper technique for an intradermal injection. Which does the nurse use to evaluate proper technique for a tuberculin skin test after injecting the solu-tion?
a. The nurse palpates a deep, firm pocket of the test solution. b. The nurse observes a nearly clear bubble slightly under the skin. c. A small trickle of blood appears at the puncture site within minutes. d. A 2-cm (3/4-inch) pink, flattened area develops at the injection site within 1 hour.
A middle-aged construction worker has a raised lesion with a pearly border on his arm that bleeds easily. The nurse realizes that this client most likely is experiencing a(n):
1. actinic keratosis. 2. basal cell carcinoma. 3. malignant melanoma. 4. melanoma in situ.
The nurse should implement which prescribed treatment for a child with warts?
a. Vaccination b. Local destruction c. Corticosteroids d. Specific antibiotic therapy