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The outpatient surgery nurse reviews the complete blood cell (CBC) count results for a
patient who is scheduled for surgery. The results are white blood cell (WBC) count 10.2
103/μL; hemoglobin 15 g/dL; hematocrit 45%; platelets 150 103/μL. Which action should the
nurse take?
a. Notify the surgeon and anesthesiologist immediately.
b. Ask the patient about any symptoms of a recent infection.
c. Continue to prepare the patient for the surgical procedure.
d. Discuss the possibility of blood transfusion with the patient. - CORRECT ANSWER✔✔ANS:
C
The CBC count results are normal. With normal results, the patient can go to the holding
area when the operating room is ready for the patient. There is no need to notify the
surgeon or anesthesiologist, discuss blood transfusion, or ask about recent infection.
The nurse is preparing a patient on the morning of surgery. The patient refuses to remove a
wedding ring, saying, "I've never taken it off since the day I was married." Which response by
the nurse is best?
a. Have the patient sign a release form and leave the ring on.
b. Tell the patient that the hospital is not liable for loss of the ring.
c. Suggest that the patient give the ring to a family member to keep.
d. Inform the operating room personnel that the patient is wearing a ring. - CORRECT
ANSWER✔✔ANS: C
Jewelry is not allowed to be worn by the patient, especially if electrocautery will be used.
Safety is the issue here. There is no need for a release form or to discuss liability with the
patient.
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