Early On,during the Preliminary Sponge Count on Closure of a Repair

question 4

Multiple Choice

Early on,during the preliminary sponge count on closure of a repair of a ruptured abdominal aortic aneurysm,the circulating nurse was unable to account for 2 lap sponges.He had maintained accountability for all sponges and instruments discarded from the sterile field and bagged each sponge carefully.He immediately turned and addressed the entire team in a clear voice.Select the appropriate communication that the circulating nurse must employ during this count discrepancy.

• A) "Stop everything. I'm missing a couple of sponges. They are not in the trash or back table. Check the wound."
• B) "I think you are missing 2 sponges. Shall I call X-ray while the scrub person checks her table again? Doctor, please check the incision."
• C) "We have a count discrepancy. We started with 70 sponges and find only 68. We are missing 2 lap sponges. Everyone, please check your areas.
• D) "I've called X-ray because we are short 2 sponges. I've called the charge nurse to get someone to help me check the trash and linen."

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Definitions:

Biological Factors

Aspects of biology that influence or determine the physical and psychological characteristics of an organism, including genetics and physiology.

Social Factors

Elements within society that influence the ways in which individuals behave and interact, such as cultural norms, education, and family systems.

Ethical

Pertaining to morals, principles of right and wrong conduct, and the philosophy regarding what is morally right or wrong.

Moral

Relating to principles of right and wrong in behavior, especially within the context of ethics or values.