During a surgical procedure, the nurse observes excessive bleeding from the surgical site. What intervention should the nurse prioritize?

Correct Answer: C

Rationale: Excessive bleeding during a surgical procedure is a critical situation that requires immediate attention. The surgeon should be notified promptly so that appropriate interventions can be initiated to control the bleeding, such as applying pressure, administering hemostatic agents, or performing additional surgical measures. The surgeon is ultimately responsible for addressing the source of bleeding and ensuring the patient's safety during the procedure. It is important for the nurse to communicate effectively and collaborate with the surgical team to manage the situation efficiently and effectively.

Correct Answer: A

Rationale: It is important for the nurse to provide the PACU nurse with the patient's intraoperative vital signs and hemodynamic parameters as this information gives insight into the patient's stability during the surgical procedure. The PACU nurse needs this data to monitor the patient's postoperative recovery, assess for any potential complications, and establish appropriate care interventions. Understanding the patient's intraoperative status allows the PACU nurse to provide a seamless continuation of care from the operating room to the post-anesthesia care unit. The details of the surgical procedure and anesthesia administration are also important but are typically conveyed through the surgical and anesthesia records. The plan for postoperative pain management and analgesic medications is essential but can be discussed and adjusted based on the patient's current status in the PACU. Documentation of the surgical count and instrument inventory is crucial for ensuring patient safety but is typically managed by the operating room team and may not be the immediate

Correct Answer: B

Rationale: The primary purpose of interdisciplinary collaboration in nursing practice is to improve communication and coordination of patient care. When healthcare providers from different disciplines work together as a team, they can share their unique perspectives, knowledge, and skills to develop comprehensive care plans that address all aspects of a patient's well-being. This collaborative approach helps ensure that the patient receives holistic and coordinated care, leading to better outcomes and patient satisfaction. Effective communication and coordination among team members also help prevent errors, reduce duplication of efforts, and promote efficient use of resources. Overall, interdisciplinary collaboration is essential for delivering high-quality, patient-centered care in healthcare settings.

Correct Answer: B

Rationale: Documenting all care provided, including assessments and interventions, is the principle that should guide the nurse's documentation practices in the electronic health record (EHR). Comprehensive and accurate documentation is essential for ensuring continuity of care, communication among healthcare team members, and legal protection. By documenting all care provided, the nurse contributes to a complete and thorough picture of the patient's condition and treatment, facilitating safe and effective patient care. This principle also aligns with professional standards and regulatory requirements, emphasizing the importance of timely and complete documentation in the EHR.

Correct Answer: B

Rationale: Normal saline is the preferred solution for wound irrigation because it is isotonic and will not damage healthy tissue or delay wound healing. It helps to remove debris and pathogens from the wound, promoting a clean environment for healing. Sterile water can be used if normal saline is not available, but it may cause cellular damage if used in large volumes. Hydrogen peroxide and Betadine solution are not recommended for wound irrigation as they can be cytotoxic to the tissues and interfere with the wound healing process. It's important for the nurse to use evidence-based practice and follow recommended guidelines to promote optimal wound healing outcomes.