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.

Answer and Explanation

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

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

Choice A rationale

Clamping the patient’s chest tube is not the appropriate action. Clamping the tube can lead to tension pneumothorax, which is a life-threatening condition.

Choice B rationale

Increasing the patient’s wall suction is not the correct action. The sensation of chest burning is not related to the level of suction. Increasing the suction could potentially cause more harm.

Choice C rationale

Stripping the patient’s chest tube is not recommended. This action can cause negative pressure in the chest and can lead to injury of the lung tissue.

Choice D rationale

Repositioning the patient is the correct action. The sensation of chest burning could be due to the position of the chest tube. Repositioning the patient may alleviate the discomfort.

A. The medication will decrease coughing episodes. B. The medication will prevent wheezing. C. The medication will open the airways. D. The medication will stimulate the flow of mucus. E. The medication will reduce inflammation.

Correct Answer is ["B","C","E"]

Explanation

Choice A rationale

Albuterol does not directly decrease coughing episodes. Coughing can be a symptom of an underlying condition like asthma, which albuterol can help manage by relaxing the muscles around the airways. However, the medication itself does not have a direct effect on coughing.

Choice B rationale

Albuterol helps prevent wheezing by relaxing the muscles around the airways, allowing them to open up and making it easier to breathe. Wheezing is a common symptom of conditions like asthma, which albuterol is often used to treat.

Choice C rationale

Albuterol works by opening the airways of the lungs, making it easier to breathe. It does this by relaxing the muscles around the airways, allowing more air to flow into the lungs.

Choice D rationale

Albuterol does not stimulate the flow of mucus. While it can help manage symptoms of conditions like asthma, it does not have a direct effect on mucus production.

Choice E rationale

Albuterol does not directly reduce inflammation. It works by relaxing the muscles around the airways, which can help alleviate symptoms of conditions characterized by inflammation, such as asthma. However, the medication itself does not have anti-inflammatory properties.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a patient with a chest tube connected to wall suction due to a right-sided pneumothorax. The patient reports a sensation of chest burning.What should the nurse do next?

Correct Answer is D

Explanation

A nurse is caring for a patient who wants to know how albuterol aids his breathing. What should the nurse’s response be? (Select all that apply)

Correct Answer is ["B","C","E"]

Explanation

A nurse is caring for a patient who frequently tries to remove his IV catheter. A family member asks the nurse to apply restraints.What should the nurse’s response be?

A nurse is admitting an elderly patient suspected of having a cognitive disorder. What inventories should be included as part of the admission assessment?

A nurse is providing discharge instructions about clean intermittent self-catheterization to a patient who has benign prostatic hyperplasia. Which of the following instructions should the nurse include?

A nurse assumes various roles while working with patients.Which of the following describes the nursing role of protecting the patient and supporting the patient’s decisions?

A nurse is caring for a patient who has just undergone a laryngectomy. What action should the nurse take in this situation?

A home health nurse is conducting a home safety assessment for an older adult patient.Which of the following findings should the nurse identify as a safety risk for the patient? (Select all that apply)

A nurse is educating a patient with multiple sclerosis who has been prescribed baclofen. What guidance should the nurse include in the education?

A nurse is caring for a patient and notices that the patient’s urine is dark amber, cloudy, and has an unpleasant odor. Which of the following conditions should the nurse associate these findings with?

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?