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:

Felsic Lava

Magma or lava that is rich in lighter elements such as silicon and oxygen, typically forming light-colored volcanic rocks.

Volcanic Domes

Steep-sided, rounded extrusions of viscous lava from a volcano, often resulting from the slow extrusion of silica-rich magma.

Pyroclastic Flows

Fast-moving currents of hot gas and volcanic matter (collectively known as tephra) that move away from a volcano during an explosive eruption.

Eruption Column

A column of volcanic ash and gas that erupts into the atmosphere during a volcanic explosion.