A nurse is caring for a client who is scheduled for placement of a central venous access device. Which of the following actions is the nurse's responsibility in the informed consent process?

Assess the client's understanding after the provider has talked with her.

Discuss alternative treatment options with the client.

Review the risks and benefits of the procedure with the client.

Place a photocopy of the signed informed consent in the client's medical record.

Answer and Explanation

The Correct Answer is A

the nurse plays a role of the client’s advocate to ensure that they understand fully the risks, benefits and steps of the procedure discussed. He or she should address any concerns raised by the client regarding the benefits and risks as explained by the healthcare provider.

B and C. It is the role of the provider to discuss in depth the risks, benefits and alternatives of the scheduled procedure

D. Handling the copy of the informed consent is the role of the record keeper at the facility

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Correct Answer is D

Explanation

A red tag is assigned to clients with a serious life-threatening condition that requires immediate intervention. According to the ABCs of basic life support, the client with a compromised has a life-threatening condition as it might lead to death if left unaddressed.

A, B, C have concerns that requires attention but airway should be addressed first. The other clients have less urgent conditions that can be assigned lower priority tags.

A. Erythema on the skin surrounding a client's wound B. Deep red color on the center of a client's wound C. Increase in serosanguineous exudate from a client's wound D. Inflammation noted on the tissue edges of a client's wound

Correct Answer is B

Explanation

Signs of wound healing include epithelialization, formation of granulation tissue and minimal wound drainage. A deep red color at the center is a sign of granulation

A. Erythema on the surrounding skin is a sign of infection

C. Increased exudate is a sign of infection

D. Inflammation of the wound edges is also a sign of infection

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A nurse is caring for a client who is scheduled for placement of a central venous access device. Which of the following actions is the nurse's responsibility in the informed consent process?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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