A nurse is caring for a client who has provided informed consent in preparation for a procedure. The client states, "I have decided not to have the procedure." Which action should the nurse take?
Discuss alternatives to the procedure.
Inform the provider that the client is withdrawing consent
Explain why this procedure is necessary.
Remind the client the consent form has already has been signed.
The Correct Answer is B
A. While discussing alternatives may be beneficial later, it is not the priority action when consent is withdrawn.
B. Informing the provider ensures the client’s right to withdraw consent is respected and initiates appropriate communication.
C. Explaining why the procedure is necessary may feel coercive and does not prioritize the client’s autonomy.
D. Reminding the client about the signed consent form undermines their right to change their decision.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Checking the surgical dressing is important but not as urgent as ensuring respiratory function.
B. Assessing urinary output is necessary but secondary to airway patency.
C. Monitoring blood pressure and blood loss is important but less critical than respiratory status.
D. Airway patency is the highest priority in the immediate postoperative period to prevent respiratory failure.
Correct Answer is C
Explanation
A. A blood pressure of 120/84 mm Hg is within normal limits and does not require immediate intervention.
B. Hypoactive bowel sounds are a common side effect of sedation and not an immediate concern.
C. A respiratory rate of 9 breaths per minute indicates respiratory depression, which is a life-threatening side effect of Propofol. Immediate intervention is required to maintain oxygenation.
D. Urine output of 90 mL over 2 hours is adequate and does not indicate acute distress.
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