While positioning the patient for surgery, the nurse notices that the patient's arms are not adequately padded. What should the nurse do?

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Foundations and Adult Health Nursing Test Bank Questions

Question 1 of 5

While positioning the patient for surgery, the nurse notices that the patient's arms are not adequately padded. What should the nurse do?

Correct Answer: C

Rationale: If the nurse notices that the patient's arms are not adequately padded while positioning for surgery, the nurse should immediately take action to prevent pressure injuries. Applying soft padding to the patient's arms will help distribute the pressure more evenly, reducing the risk of skin breakdown and potential harm to the patient during the surgical procedure. It is essential to prioritize the patient's safety and comfort in such situations. Simply proceeding with the positioning as planned could lead to complications, so addressing the inadequate padding promptly is the appropriate course of action.

Question 2 of 5

A nurse is participating in a healthcare team meeting to discuss a patient's care plan. What is the nurse's role in interdisciplinary collaboration?

Correct Answer: B

Rationale: The nurse's role in interdisciplinary collaboration is crucial for providing comprehensive and effective patient care. By actively participating in healthcare team meetings, the nurse should listen attentively to the input of other team members, contribute their expertise, and share relevant information about the patient's condition. Collaboration involves working together towards shared goals, pooling knowledge and resources, and fostering mutual respect among team members. The nurse's active involvement in the care planning process helps ensure coordinated and patient-centered care delivery. This approach enhances communication, improves outcomes, and promotes a holistic approach to patient care.

Question 3 of 5

A nurse is preparing to perform a tracheostomy tube change for a patient. What action should the nurse prioritize to ensure patient safety during the procedure?

Correct Answer: A

Rationale: The nurse should prioritize using sterile technique during the tracheostomy tube change to ensure patient safety. Tracheostomy procedures involve a direct entry into the airway, making it crucial to prevent infection and reduce the risk of complications. Sterile technique, including proper hand hygiene, wearing sterile gloves, and using sterile equipment, helps minimize the introduction of pathogens into the patient's airway, reducing the risk of infection. By maintaining a sterile field, the nurse can protect the patient from potential harm and promote a successful outcome of the tracheostomy tube change.

Question 4 of 5

A nurse is preparing to perform a wound debridement procedure for a patient with a necrotic wound. What action should the nurse prioritize to minimize patient discomfort during the procedure?

Correct Answer: A

Rationale: Administering systemic analgesia, such as pain medications or anesthesia, before the wound debridement procedure is the most effective way to minimize patient discomfort. These medications will help manage and reduce the pain experienced by the patient during the procedure, making it more tolerable for them. Topical anesthetic cream may provide some localized relief but may not be sufficient for significant pain management during a wound debridement procedure. Using sharp debridement techniques or performing the procedure quickly may help reduce manipulation or duration, respectively, but these actions alone may not adequately address the patient's pain and discomfort. Administering systemic analgesia ensures that the patient's overall pain is managed, promoting a more comfortable and successful wound debridement procedure.

Question 5 of 5

A nurse is preparing to assist with a transesophageal echocardiogram (TEE) procedure for a patient. What action should the nurse prioritize to ensure patient safety during TEE?

Correct Answer: D

Rationale: Ensuring the availability of emergency equipment and resuscitation medications is crucial to prioritize patient safety during a transesophageal echocardiogram (TEE) procedure. TEE involves inserting a specialized probe (transducer) into the esophagus to obtain detailed images of the heart. While complications during TEE are rare, they can include adverse reactions to sedation, esophageal injury, arrhythmias, or other cardiac events. By having emergency equipment and resuscitation medications readily available, the healthcare team can respond promptly to any unforeseen complications or emergencies that may arise during the procedure, ensuring optimal patient safety. Placing the patient in a supine position, providing sedation, and advising the patient to fast before the procedure are important aspects of the TEE process; however, ensuring emergency preparedness takes precedence in prioritizing patient safety during the procedure.

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