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 D
Explanation
A. Metabolic acidosis is characterized by a primary decrease in bicarbonate (HCO₃⁻) levels, which is not typically a direct result of COPD. However, if a patient with COPD has an additional condition like kidney failure or severe sepsis, they could potentially develop metabolic acidosis. But, this is not the primary concern in COPD.
B. Respiratory alkalosis is caused by hyperventilation, where there is excessive loss of CO₂ leading to an increase in blood pH. This is less common in COPD patients, as they typically have difficulty exhaling CO₂ rather than hyperventilating.
C. Metabolic alkalosis involves an increase in blood pH due to elevated bicarbonate levels or loss of acid. This is not typically associated with COPD, unless there is an unrelated condition causing metabolic alkalosis.
D. COPD is characterized by impaired airflow and reduced ability to expel carbon dioxide (CO₂) effectively. As CO₂ accumulates in the blood, it combines with water to form carbonic acid, which lowers the blood pH, leading to respiratory acidosis.
Correct Answer is C
Explanation
A. While important for overall patient assessment, it's not the most direct way to monitor for a wound infection.
B. Pain can indicate a wound infection, but it's not as specific as directly inspecting the wound.
C. This is the most direct way to assess for early signs of a wound infection. Redness, swelling, warmth, and drainage are classic signs of infection.
D. Important for overall patient care, but not specifically related to wound infection prevention.
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