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

question 5

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 meticulously maintained accountability for all sponges and instruments discarded from the sterile field and bagged each sponge carefully.He immediately turned and addresses 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 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." "The rapid response team is on their way."

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