A nurse is caring for a client who is scheduled for an elective surgical procedure. Which of the following actions should the nurse take regarding informed consent?

Explain the procedure to the client if they do not understand.

Obtain the client's consent.

Witness the client's signature.

Explain the risks and benefits of the procedure.

Answer and Explanation

The Correct Answer is C

The nurse's role in the informed consent process is to witness the client's signature on the consent form. It is the responsibility of the physician performing the procedure to explain the procedure, its risks and benefits, and to obtain the client's consent. The nurse can clarify information and answer questions, but it is not their responsibility to explain the procedure or obtain consent.

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Correct Answer is D

Explanation

The nurse should immediately report a respiratory rate of 8 to the physician. A normal respiratory rate for an adult is between 12 and 20 breaths per minute. A respiratory rate of 8 is considered abnormally low and can indicate respiratory depression, which can be a side eﬀect of pain medication delivered through an epidural catheter. It is important for the nurse to report this finding immediately so that appropriate interventions can be taken to ensure the safety of the client.

A. The client's urinary output will be increased. B. The client's urine will be a medium-amber color. C. The client's urine will have a strong ammonia odor. D. The client's urinary output will be decreased.

Correct Answer is A

Explanation

A diuretic is a medication that increases the production of urine by the kidneys. This can help reduce swelling (edema) by removing excess ﬂuid from the body. If a client is prescribed a diuretic for swelling of the lower extremities, the nurse should teach the client that the medication will increase their urinary output. This means that the client will need to urinate more frequently and may produce more urine than usual. The color and odor of the urine may also change, but these changes are not directly related to the eﬀect of the medication on urinary output.

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A nurse is caring for a client who is scheduled for an elective surgical procedure. Which of the following actions should the nurse take regarding informed consent?

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The nurse is caring for a postpartum client who is receiving pain medication through an epidural catheter. Which assessment finding should the nurse report immediately to the physician?

Correct Answer is D

Explanation

A client is prescribed a diuretic for swelling of the lower extremities. The nurse should teach the client about the eﬀect of the medication on the client's urinary output.

Correct Answer is A

Explanation

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