A nurse is caring for a client who is scheduled for surgery. After signing the consent form, the client tells the nurse that she has concerns about the procedure. Which of the following actions should the nurse take?
Discuss the risks of the procedure.
Notify the provider.
Postpone the procedure.
Emphasize the importance of the procedure.
The Correct Answer is B
Rationale:
A. Discussing the risks of the procedure is the provider’s responsibility, not the nurse’s. The provider must ensure informed consent.
B. If the client expresses concerns after signing consent, the nurse should notify the provider immediately so the provider can clarify information, answer questions, and reconfirm consent.
C. The nurse does not have the authority to postpone the procedure; that decision must be made by the provider.
D. Emphasizing the importance of the procedure could be seen as coercive and does not respect the client’s right to informed decision-making.
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Related Questions
Correct Answer is D
Explanation
Rationale:
A. A provider using a nurse’s password violates HIPAA security rules—passwords must never be shared.
B. Leaving a clipboard with vital signs at the bedside risks unauthorized access to personal health information.
C. Posting an x-ray schedule on the client’s whiteboard exposes personal health information to visitors and staff who are not involved in care.
D. Sending client information via encrypted email is a proper method of protecting confidentiality, as it ensures secure transmission of personal health information.
Correct Answer is D
Explanation
Rationale:
A. Client concerns about meals should be addressed but do not require an incident report—these can be managed through dietary services or routine documentation.
B. Difficulty obtaining medication from the pharmacy is a systems issue, but it does not directly involve a client safety event and therefore does not require an incident report.
C. A client’s refusal of medication is their right and should be documented in the medical record, not reported as an incident.
D. Withholding a client’s scheduled medication constitutes a medication error/variance, which directly affects client safety and must be documented using an incident report.
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