Quiz 15: Care of Intraoperative Patients

Nursing

A patient who has come for a pain-relieving procedure has a DNR (do not resuscitate) order in her medical records. But after getting admitted into the hospital, and receiving premedication, the patient requests that the DNR order be suspended and his family member be contacted. No, the patient is not allowed to suspend the DNR order. Since the patient has already received premedication, he is under the influence of the medication. His words should not be taken seriously. For such patients, the nurse or the doctor should ask whether the DNR order should be followed or suspended before giving any medication. For this patient, the nurse can wait till the effect of the medication wears off and then ask the patient. An alternative would be to consult the doctor who has given the DNR order for this patient. After consultation with this doctor, the next step can be done.

The scrub person who is standing at the scrub sink informs the nurse that she is wearing artificial nails since her own nails break easily and can tear the gloves. The best response of the nurse is discussed below. Option A cannot the correct option because wearing double gloves may reduce the risk of glove puncture but does not reduce the risk of bacterial contamination. Option B cannot be the correct option since artificial nails are not acceptable. They have been proven to harbor organisms. Option C cannot be the correct option since the nails have normal flora in healthy individuals. This usually does not cause a problem. Option D is the correct option since artificial nails are not acceptable. They have been proven to harbor organisms. They are not permitted in the OR. Hence, the correct option is D. Artificial nails are not permitted.

A patient who has come for a pain-relieving procedure has a DNR (do not resuscitate) order in her medical records. But after getting admitted into the hospital, and receiving premedication, the patient requests that the DNR order be suspended and his family member be contacted. The patient is not allowed to suspend the DNR order. Since the patient has already received premedication, he is under the influence of the medication. His words should not be taken seriously. The ethical principle which should guide the nurse is autonomy. When the patient is not capable of making decisions for himself, the nurse is supposed to protect him. In this case, the nurse protects him since the patient is under the influence of the medication.

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