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Shawna Bolten,a Perioperative Nurse,relieved the Circulating Nurse in OR 5

Question 18

Multiple Choice

Shawna Bolten,a perioperative nurse,relieved the circulating nurse in OR 5 where they were about to begin a circumcision on a 17-year-old patient under general anesthesia.After she received the hand-off report from the circulating nurse,she noticed an empty vial of lidocaine 1% with epinephrine 1:100,000 by the computer,where she had signed herself in as the relief nurse.During the hand-off report the scrub person showed her the medication cup on the sterile field.It was labeled "lidocaine 1%." The scrub person had drawn up 10 ml in a syringe to hand to the surgeon for a penile block.Shawna's immediate response should be:


A) no response;the epinephrine will minimize bleeding and prolong the anesthetic action.
B) tell the scrub person to write epinephrine 1:100,000 on the syringe and cup label.
C) alert the team that lidocaine with epinephrine was accidentally placed on the back table.
D) empty the cup and syringe and refill with 1% lidocaine without epinephrine.

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