The nurse is assigned to a 52-year-old patient who is admitted for elective cholecystectomy. While undergoing preoperative evaluation, the patient mentions to the nurse an allergy that is not documented in the health record. Which action by the nurse is most appropriate?

Directly inform the surgical team. If a new undocumented allergy is discovered by the nurse, the most appropriate action is to inform the surgical team, specifically the anesthesiologist/nurse anesthetist, prior to transport or administering any medications. Administering medications without making the surgical team aware of a new undocumented allergy is unsafe. Simply making a note in the patient’s health record is not sufficient. Notification of the OR charge nurse is not appropriate since they are not directly overseeing the care of this patient during surgery.

The nurse is assigned to a 52-year-old patient who is admitted fo...

Category: Safety and Infection Control
Difficulty: 3

Topics: Communication & Documentation Medication and Blood Products Disease Prevention Health Care Ethics, Law, and Policy Health Care Quality Immunity Inflammation Nursing Interventions

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Which tool is most effective for promoting safety when ambulating an elderly patient who is a fall risk?

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An emergency room nurse is caring for a patient admitted by ambulance after a motor vehicle collision. The patient was transported with a long spine board and rigid cervical collar. Thirty minutes after arrival, the patient has been log-rolled off the spine board, completed imaging studies of the spine, and is requesting removal of the cervical collar. Which is the nurse’s next action?

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The nurse is providing education to parents of young children regarding car seat safety. Which statement by the parent indicates the teaching was effective?

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