During the final surgical count, one laparotomy sponge is missing. What should the circulating nurse do?
Correct answer: C. Repeat the count and immediately inform the surgeon
- A. Close the wound and document the missing sponge
- B. Ask the patient to identify where the sponge is
- C. Repeat the count and immediately inform the surgeon
- D. Leave the operating room to search the recovery area
Explanation
A missing sponge may have been retained in the surgical wound, so the count must be repeated and the surgeon informed immediately. The wound should not be closed until the discrepancy is investigated according to policy.
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About Perioperative Nursing
Covers preoperative assessment, informed consent, surgical preparation, anaesthesia, intraoperative safety and postoperative recovery. It includes sterile technique, surgical positioning, wound and drain care, pain and nausea management, fluid balance, prevention of infection and recognition of complications such as haemorrhage, atelectasis and shock.
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