A nurse is caring for a client who has a hip fracture that requires surgical repair. Which of the following health care professionals is responsible for obtaining informed consent from the client for the procedure?

Surgeon

Surgical suite nurse

Nurse

Anesthesiologist

Answer and Explanation

The Correct Answer is A

A. Surgeon: The surgeon is responsible for obtaining informed consent from the client. This includes providing the client with all necessary information about the procedure, including its risks, benefits, and alternatives, to ensure that the client can make an informed decision.

B. Surgical suite nurse: While the surgical suite nurse may assist with explaining aspects of the procedure and verifying consent, the primary responsibility for obtaining informed consent lies with the surgeon.

C. Nurse: Although the nurse plays a role in patient education and ensuring the client understands the procedure, the formal process of obtaining informed consent is the responsibility of the surgeon.

D. Anesthesiologist: The anesthesiologist provides information about anesthesia risks and effects but does not obtain consent for the surgical procedure itself.

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Correct Answer is B

Explanation

A. Glasgow results: This information would typically be included in the "Assessment" section of SBAR, as it relates to the current status of the client.

B. Intracranial pressure readings: This information is appropriate for the "Background" segment of SBAR as it provides relevant context about the client's condition that could impact the plan of care.

C. Code status: This information should be included in the "Background" section if it is relevant to the client's overall care and treatment plan, but it is not specific to the immediate context of the traumatic brain injury.

D. Plan of care changes for upcoming shift: This information belongs in the "Recommendation" or "Plan" section of SBAR, as it involves the actions or changes planned for the client’s care during the upcoming shift.

A. A client who is being discharged to a long-term care facility B. A client who needs teaching prior to initiating cardiac rehabilitation activities C. A client who needs teaching about insulin self-administration D. A client who is postoperative following a lobectomy and has a chest tube

Correct Answer is D

Explanation

A. A client who is being discharged to a long-term care facility: This may involve extensive discharge teaching and planning, which may not align with the float nurse’s PACU experience.

B. A client who needs teaching prior to initiating cardiac rehabilitation activities: This requires specialized knowledge in cardiac rehabilitation and patient education.

C. A client who needs teaching about insulin self-administration: This requires specific knowledge about diabetes management and patient education.

D. A client who is postoperative following a lobectomy and has a chest tube: The float nurse from the PACU is likely familiar with postoperative care and management of chest tubes, making this client the most suitable for their expertise.

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A nurse is caring for a client who has a hip fracture that requires surgical repair. Which of the following health care professionals is responsible for obtaining informed consent from the client for the procedure?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is giving change-of-shift report using SBAR to the oncoming nurse on a client who has a traumatic brain injury. Which of the following information should the nurse include in the background segment of SBAR?

Correct Answer is B

Explanation

A nurse in the medical-surgical unit is assigning client care to a nurse who is floating from the PACU. The nurse should recognize that the float nurse is most qualified to care for which of the following clients?

Correct Answer is D

Explanation

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