A nurse is caring for an older adult who is alert and competent and comes to the facility with her adult son for elective cataract extraction. After the provider explains the procedure, who should the nurse have sign the consent form?
The patient's son
The patient
The patient's health care proxy
The patient and her son
The Correct Answer is B
Choice A reason: The patient's son may be present for support, but he does not have the authority to sign the consent form unless he is a designated health care proxy and the patient is not competent.
Choice B reason: Since the patient is alert and competent, she has the right and responsibility to provide consent for her own medical procedures.
Choice C reason: A health care proxy is authorized to make decisions on behalf of the patient only if the patient is unable to do so.
Choice D reason: The consent form should be signed by the patient alone if she is competent, regardless of who accompanies her to the facility.
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Related Questions
Correct Answer is D
Explanation
Choice A reason: While nurses play a role in the informed consent process, they are not responsible for obtaining the consent for the surgery.
Choice B reason: An anesthesiologist may obtain consent for anesthesia but not for the surgical procedure itself.
Choice C reason: The surgical suite nurse assists in the operating room but does not obtain consent for the surgery.
Choice D reason: The surgeon performing the procedure is responsible for obtaining informed consent from the patient, making this the correct answer.
Correct Answer is B
Explanation
Choice A reason: Placing the patient supine with the knees flexed may be done to reduce tension on the abdominal area, but it is not the immediate action for wound dehiscence.
Choice B reason: Covering the wound with a clean towel is a priority to protect the wound from infection and further injury until it can be assessed and treated by a healthcare provider.
Choice C reason: Applying an abdominal binder may provide support to the abdominal area, but it should not be done without assessing the wound first.
Choice D reason: Offering a drink of water is not related to the immediate care of wound dehiscence.
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