A nurse is caring for a client scheduled for coronary artery bypass grafting who reports he is no longer certain he wants to have the procedure. Which of the following responses should the nurse make?

"Why have you changed your mind about the surgery?"

"Your provider would not have scheduled the surgery unless you needed it."

"I will call your doctor and have him discuss your surgery with you."

"Bypass surgery must be very frightening for you."

Answer and Explanation

The Correct Answer is D

A. "Why have you changed your mind about the surgery?" Asking "why" may sound accusatory and could cause the client to feel defensive. It's more effective to use therapeutic communication techniques that encourage open expression of feelings.

B. "Your provider would not have scheduled the surgery unless you needed it."This response minimizes the client's concerns and implies that their feelings are not valid, which can hinder communication.

C. "I will call your doctor and have him discuss your surgery with you." While involving the provider is important, this response deflects the client's concerns without first addressing their feelings or providing support.

D. "Bypass surgery must be very frightening for you." This response uses a therapeutic communication technique by acknowledging the client’s emotions and opening the conversation for further exploration of their concerns.

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Correct Answer is C

Explanation

A. Obtain a blood sample. While obtaining a blood sample to check cardiac enzyme levels is important for diagnosing myocardial injury, it is not the priority over oxygen therapy, given the client’s shortness of breath and cyanosis.

B. Insert the IV catheter. IV access is important for administering fluids and medications, but it is not the first priority in this scenario where the client is experiencing respiratory distress.

C. Initiate oxygen therapy. The client shows signs of hypoxia (shortness of breath and cyanosis), and oxygen is crucial for stabilizing oxygen levels and preventing further deterioration of cardiac and respiratory function.

D. Attach the leads for a 12-lead ECG. Attaching the leads for an ECG is essential to evaluate the client's cardiac status, but it is not the most urgent action in the presence of cyanosis and respiratory distress.

A. Exercise ECG stress test B. Electrocardiogram C. CT scan without contrast dye D. Echocardiogram

Correct Answer is A

Explanation

A. Exercise ECG stress test: An exercise ECG stress test requires informed consent because it involves physical activity that may place stress on the heart and carries certain risks, such as inducing arrhythmias or other complications.

B. Electrocardiogram: An electrocardiogram (ECG or EKG) is a non-invasive, routine diagnostic test that does not require written informed consent.

C. CT scan without contrast dye: A CT scan without contrast dye is a standard imaging procedure that typically does not require written informed consent, unless there are specific risks or complications involved.

D. Echocardiogram: An echocardiogram is a non-invasive ultrasound test of the heart and does not require written informed consent under normal circumstances.

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A nurse is caring for a client scheduled for coronary artery bypass grafting who reports he is no longer certain he wants to have the procedure. Which of the following responses should the nurse make?

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Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

A nurse is reviewing the prescriptions for a newly admitted client who is to undergo cardiac testing. For which of the following procedures should the nurse verify that the client has given written informed consent?

Correct Answer is A

Explanation

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