A nurse has completed an informed consent form with a patient.
The patient then states, “I have changed my mind and do not want to have the procedure done.”. What action should the nurse take?
Notify the surgeon that the patient wishes to withdraw informed consent for the procedure.
Inform the surgical team to cancel the patient’s surgery.
Proceed with preparation of the patient for the surgical procedure.
Remind the patient that a signed informed consent form is a legally binding document.
The Correct Answer is A
Choice A rationale
The patient has the right to withdraw their informed consent at any time, even after signing the consent form. This is a fundamental principle of patient autonomy and respect for the individual’s rights. The nurse should respect the patient’s decision and notify the surgeon that the patient wishes to withdraw informed consent for the procedure. This allows the healthcare team to reassess the situation, provide further information if necessary, and make appropriate adjustments to the care plan.
Choice B rationale
While informing the surgical team to cancel the surgery might be a subsequent step, it is not the immediate action the nurse should take. The first action should be to respect the patient’s autonomy and communicate their decision to the surgeon.
Choice C rationale
Proceeding with the preparation of the patient for the surgical procedure against their expressed wishes would be a violation of the patient’s rights. It is essential to respect the patient’s autonomy and their right to make decisions about their own healthcare.
Choice D rationale
Reminding the patient that a signed informed consent form is a legally binding document is incorrect. Informed consent is not a contract, and the patient has the right to withdraw consent at any time. The purpose of informed consent is to ensure that the patient understands the procedure, its risks and benefits, and alternatives, and makes an informed decision.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Drinking a full glass of water after taking the medication is a good practice when taking calcium carbonate antacids. This helps to ensure that the medication is fully swallowed and reaches the stomach, where it can neutralize stomach acid.
Choice B rationale
Limiting sodium intake is not directly related to the use of calcium carbonate antacids. While a low-sodium diet may be recommended for other health reasons, it is not a specific recommendation for patients taking this medication.
Choice C rationale
Consuming the medication alongside dairy products to enhance absorption is not recommended. Calcium carbonate antacids can interact with dairy products, potentially leading to an excessive intake of calcium.
Choice D rationale
Reducing dietary fiber to counteract the potential side effect of diarrhea is not a typical recommendation for patients taking calcium carbonate antacids. While calcium carbonate can cause constipation in some people, it does not typically cause diarrhea.
Correct Answer is B
Explanation
Choice A rationale
While swelling in the legs can be a side effect of some medications, it is not a measure of the effectiveness of sertraline. Sertraline is an antidepressant, and its effectiveness would be measured by improvements in mood and behavior.
Choice B rationale
An improvement in mood is a key indicator that the sertraline is effective. Sertraline is a selective serotonin reuptake inhibitor (SSRI) used to treat depression and other mood disorders. It works by increasing the amount of serotonin, a natural substance in the brain that helps maintain mental balance.
Choice C rationale
While it’s important to monitor blood pressure in patients taking any medication, a blood pressure within the expected range is not specifically an indication of the effectiveness of sertraline.
Choice D rationale
Weight loss is not a primary indicator of the effectiveness of sertraline. While some patients may experience weight changes while taking this medication, it is not a measure of its effectiveness in treating depression or other mood disorders.
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