A nurse is caring for a client who is about to undergo an elective surgical procedure. The nurse should take which of the following actions regarding informed consent?
(Select All that Apply.)
Explain the risks and benefits of the procedure.
Tell the client about alternatives to having the surgery.
Make sure the surgeon obtained the client's consent
Describe the consequences of choosing not to have the surgery.
Witness the client's signature on the consent form.
Correct Answer : C,E
A. Explaining the risks and benefits of the procedure is generally the responsibility of the surgeon or the healthcare provider who will perform the procedure. They are in the best position to provide detailed and specific information about the procedure, including potential complications and benefits.
B. Similar to explaining the risks and benefits, discussing alternatives is usually done by the surgeon or the provider. The nurse should ensure that the client is aware that alternatives are available and that this information has been provided by the appropriate medical professional.
C. It is the responsibility of the surgeon or the healthcare provider to obtain informed consent. However, the nurse should confirm that the consent process has been completed. This means ensuring that the consent form is signed and that the client has been properly informed. While the nurse does not obtain consent, they verify that it has been done correctly.
D. Describing the consequences of not undergoing the surgery is part of the informed consent process and is generally the responsibility of the surgeon. The nurse should ensure that this information has been communicated to the client by the appropriate provider.
E. The nurse often acts as a witness to the client’s signature on the consent form. This involves confirming that the client has signed the form voluntarily and after being fully informed. The nurse’s role in this process is to ensure the proper documentation and verification that the consent has been given.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. 0.9% sodium chloride, also known as Normal Saline, is an isotonic solution. It has the same concentration of solutes as blood plasma, which means it does not change the cell's fluid volume but rather maintains it. It is not considered hypotonic.
B. 0.45% sodium chloride, commonly known as Half Normal Saline, is a hypotonic solution. It has a lower concentration of sodium chloride compared to the normal saline and is used to provide hydration and to help correct electrolyte imbalances by allowing water to move into the cells.
C. Dextrose 5% in Lactated Ringer's is not a hypotonic solution. It is actually a type of hypertonic solution. Initially, dextrose 5% is isotonic, but once the dextrose is metabolized, the solution becomes hypotonic due to the electrolyte content of Lactated Ringer’s. However, the classification is generally based on the solution before metabolism, and it is not commonly used as a hypotonic solution.
D. Lactated Ringer's solution is an isotonic solution. It contains electrolytes in concentrations similar to those found in the body's plasma, and it is used to restore fluids and electrolytes. It does not have a hypotonic effect on cells.
Correct Answer is D
Explanation
A. Obesity does not selectively affect only certain types of surgical procedures; rather, it generally increases the risk of complications across a wide range of surgical interventions. This includes both elective and emergency surgeries.
B. Obesity significantly impacts surgical risk. It is associated with a higher likelihood of complications such as wound infections, delayed wound healing, respiratory problems, and cardiovascular issues. The presence of excess body fat affects multiple physiological systems and can complicate both the surgical procedure and recovery.
C. Obesity does not decrease the risk of surgical complications; rather, it increases it. The excess body fat associated with obesity can lead to problems such as impaired wound healing, increased risk of infection, cardiovascular strain, and respiratory issues, which all contribute to a higher risk of complications during and after surgery.
D. This statement accurately reflects the relationship between obesity and surgical risk. Obesity is associated with an increased risk of a variety of surgical complications.
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