A client is about to undergo an elective surgical procedure. Which of the following is the role of the nurse providing preoperative care regarding informed consent?
Obtain the client's consent.
Describe the consequences of forgoing treatment.
Witness the client's signature.
Explain the risks and benefits of the procedure.
The Correct Answer is C
A. Obtain the client’s consent: It is not the nurse’s responsibility to obtain the client’s consent for a procedure. This responsibility lies with the healthcare provider performing the procedure.
B. Describe the consequences of forgoing treatment: While it’s important for the client to understand the consequences of not undergoing the procedure, it is the healthcare provider’s responsibility to explain these consequences, not the nurses.
C. Witness the client’s signature: This is correct. The nurse’s role in the informed consent process is to witness the client’s signature on the consent form and to verify that the client is consenting voluntarily and appears to be competent to do so.
D. Explain the risks and benefits of the procedure: While the nurse can reinforce information, it is the healthcare provider’s responsibility to explain the risks and benefits of the procedure. The nurse should ensure that the client understands the information provided by the healthcare provider
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
(A) Increased bowel sounds
At the end of life, decreased bowel sounds or even absent bowel sounds are more common due to reduced gastrointestinal activity as the body begins to shut down. Increased bowel sounds are not typically expected.
(B) Hypertension
Hypertension is not typically expected at the end of life. Instead, hypotension (low blood pressure) is more common as the heart and other systems begin to fail.
(C) Moist mucous membranes
At the end of life, mucous membranes are often dry due to decreased fluid intake and systemic dehydration. Moist mucous membranes would not be an expected finding.
(D) Mottled skin
Mottled skin is a common and expected finding at the end of life. It occurs as circulation diminishes and the skin takes on a blotchy, purplish appearance, typically starting in the extremities and moving centrally. This is a sign that the body is shutting down and approaching death.
Correct Answer is C
Explanation
A. pH 7.48:
A pH of 7.48 indicates alkalosis, not acidosis. Respiratory acidosis is characterized by a pH below the normal range (7.35-7.45).
B. pH 7.50:
Similar to choice A, a pH of 7.50 indicates alkalosis, not acidosis.
C. pH 7.31:
This pH value falls below the normal range (7.35-7.45), indicating acidemia. In respiratory acidosis, there is an increase in the partial pressure of carbon dioxide (PaCO2) in the blood, leading to an accumulation of carbonic acid and a decrease in pH.
D. pH 7.39:
A pH of 7.39 falls within the normal range (7.35-7.45), indicating a normal acid-base balance. It does not indicate acidosis.
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