The nurse is preparing a patient for a surgical procedure on the right great toe. Which of the following actions would be most important to include in this patient's preparation?

a. Ascertain that the surgical site has been correctly marked.
b. Ascertain where the family will be located during the procedure.
c. Place the patient in a clean surgical gown.
d. Ask the patient to remove all hairpins and cosmetics.


A
Because errors have occurred in the past with patients undergoing the wrong surgery on the wrong site, the universal protocol has been implemented and is used with all invasive procedures. Part of this protocol includes marking the operative site with indelible ink. Knowing where the family is during a procedure, placing the patient in a clean gown, and asking the patient to remove all hairpins and cosmetics are important but are not most important in this list of items.

Nursing

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