CNOR Operating Room Nursing

Category - Intraoperative

Which of the following is a true statement regarding sponge counts in the operating room?
  1. If a pack of sponges arrives that is numbered incorrectly, the nurse should write the actual number of sponges included on the outside of the package.
  2. During surgery, the circulating nurse should hand the sponges to the scrub nurse to keep in a pan for later counts.
  3. Sponges should be kept separated from towels to avoid confusion and miscounting.
  4. The nurse should bag the sponges and then perform a quick count in the room after the procedure is complete.
Explanation
Answer: C-Sponges should be kept separate from towels to avoid confusion and miscounting. Because both sponges and towels are soft items that could be left inside a patient, keeping them separate ensures count accuracy. Once sponges or towels have gotten wet during surgery, it may be difficult to discern which they are. The nurse can keep the counts accurate by keeping them separate.
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