A nurse is caring for an adolescent client who is preparing for their first pelvic examination. Which of the following techniques should the nurse use to explain the procedure?
Give the adolescent a short story pamphlet about puberty.
Describe the steps to the adolescent's guardian.
Show an online video that demonstrates what to expect.
Use an anatomically correct puppet to demonstrate.
The Correct Answer is C
A. Give the adolescent a short story pamphlet about puberty. While educational materials about puberty can be helpful, they do not provide specific information about a pelvic examination.
B. Describe the steps to the adolescent's guardian. The explanation should be directed to the adolescent to ensure they understand and feel comfortable. The guardian may be included if the adolescent prefers.
C. Show an online video that demonstrates what to expect. A visual demonstration can help reduce anxiety by familiarizing the adolescent with the procedure in a clear and informative way.
D. Use an anatomically correct puppet to demonstrate. Puppets are more appropriate for explaining procedures to younger children, not adolescents.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Ask the client if they understand the procedure. The nurse’s role in informed consent is to confirm that the client understands the procedure and voluntarily agrees to it. If the client has questions or does not understand, the nurse should notify the provider for further explanation.
B. Describe the procedure to the client. It is the provider’s responsibility to explain the procedure in detail, including what it entails. The nurse should not provide this explanation.
C. Inform the client about alternative treatment options. The provider must discuss alternative treatment options, not the nurse. The nurse can ensure that this discussion has occurred but does not provide the alternatives.
D. Explain the risks of the procedure to the client. The provider is responsible for explaining the risks, benefits, and expected outcomes of the procedure. The nurse’s role is to witness the consent and ensure the client understands.
Correct Answer is ["A","B","C","D","E","F","G","H"]
Explanation
The key pieces of information that indicate the client is at risk for falls include:
- Admitted following a fall down approximately five steps – Indicates a recent fall history.
- Client's partner reports client possibly hit their head and was a little disoriented for a minute or two – Suggests potential confusion or altered mental status.
- Client has a history of falls and orthostatic hypotension per client's partner – A significant risk factor for future falls.
- Client uses a walker – Indicates mobility impairment.
- Client ordered new glasses following an eye exam last week but has not received them yet – Vision impairment increases fall risk.
- Blood pressure: Lying: 130/90 mm Hg, Sitting: 128/88 mm Hg, Standing: 98/60 mm Hg – Orthostatic hypotension (drop in BP upon standing) can cause dizziness and falls.
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