Which is the priority action by the nurse when a patient discloses a medication allergy during the health history prior to a surgical procedure?

Correct Answer: B

Rationale: Documenting the information on the patient's medical record,' as it ensures the allergy is communicated to the team priority over 'describing' (A), 'bracelet' (C), or 'family verification' (D). In nursing, documentation prevents errors; B aligns with NCLEX Perioperative, prioritizing record accuracy.

Correct Answer: B

Rationale: A total knee replacement for a patient with limited mobility is classified as restorative surgery because it aims to restore function and improve quality of life by replacing a damaged joint. Urgent surgery addresses immediate threats, like a ruptured aneurysm, not applicable here. Simple surgery is not a standard classification and suggests minimal complexity, which doesn't fit a major procedure like this. Palliative surgery relieves symptoms without curing, unlike this surgery's goal of functional restoration. The rationale hinges on the restorative intent: the procedure corrects a degenerative condition (e.g., osteoarthritis), enabling ambulation and reducing disability. This aligns with nursing's focus on enhancing patient independence, distinguishing it from curative (disease eradication) or palliative (symptom relief) categories.

Correct Answer: B

Rationale: The best response is suggesting autologous donation because it addresses the patient's fear by offering a proactive solution using her own blood reduces reaction risks. Minimizing the need dismisses her concern, while claiming low reaction likelihood or strict procedures lacks specificity and reassurance. The rationale centers on empowerment: autologous donation aligns with patient autonomy, mitigates transfusion reactions (e.g., allergic or hemolytic), and is feasible if time allows. Nursing supports informed decision-making, reducing anxiety through practical options, enhancing trust and safety perception.

Correct Answer: D

Rationale: The circulating nurse coordinates, oversees, and participates in care , managing the OR environment and documentation. Setting up sterile fields is the scrub nurse's role; surgical responsibility is the surgeon's. Choice A is partial. The rationale defines scope: the circulator ensures safety, sterility, and team coordination, distinct from hands-on sterile tasks or surgical decisions. Nursing's non-sterile oversight optimizes intraoperative flow, supporting patient outcomes.

Correct Answer: C

Rationale: The nurse ensures grounding pad placement to prevent electrical burns from cautery. Sterility , anesthesia assistance , and cameras are unrelated. The rationale focuses on electrosurgery: improper grounding disperses current, risking injury. Nursing verifies pad contact and placement, aligning with safety protocols, critical for preventing intraoperative hazards, distinct from other duties.