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    Why is it necessary to remove dark-colored nail paint before surgery?
    Question

    Why is it necessary to remove dark-colored nail paint before surgery?

    A.

    Nail paint interferes with SPO2 monitoring and we cannot assess capillary refill time

    B.

    To prevent burns from cautery

    C.

    Nail paint increases chances of infections

    D.

    To follow OT ethics

    Correct option is A

    · Nail paint interferes with SPO2 monitoring and we cannot assess capillary refill time: Nail paint, particularly dark-colored, can obstruct the light absorption of the pulse oximeter, leading to inaccurate oxygen saturation readings. It also prevents clear visualization of capillary refill time, a crucial assessment of peripheral perfusion.
    · To prevent burns from cautery: As nail paint does not significantly affect the risk of burns from electrocautery equipment.
    · Nail paint increases chances of infections: While hygiene is critical in the operating room, nail paint removal is not specifically associated with infection risk reduction.
    · To follow OT ethics: While maintaining operating room standards is essential, nail paint removal is not a matter of ethics but a practical need for accurate monitoring and assessment.
    Additional Information:
    · Healthcare professionals also monitor changes in the nail bed & color for signs of oxygenation or circulation problems during surgery. Clear nails help ensure accurate assessments.

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