A nurse is completing a preoperative checklist for a client. The client tells the nurse. "I am not sure if I want the procedure after all." Which of the following responses should the nurse make?
"Why are you changing your mind about the procedure?"
"This procedure is perfectly safe."
"I will contact the provider to let her know."
"You should discuss your concerns with your family!"
The Correct Answer is C
A. "Why are you changing your mind about the procedure?" This question may come across as confrontational or judgmental. It does not directly address the client’s need for information or support.
B. "This procedure is perfectly safe." This response is dismissive and provides false reassurance. The nurse should avoid minimizing the client's concerns.
C. "I will contact the provider to let her know." When a client expresses uncertainty about undergoing a procedure, the nurse's priority is to notify the provider. The provider is responsible for addressing the client’s concerns, clarifying the procedure, and ensuring informed consent. The client's autonomy must be respected, and they have the right to withdraw consent at any time.
D. "You should discuss your concerns with your family!" While family support can be helpful, the decision to proceed or not is ultimately between the client and the provider. Directing the client to the family may undermine their autonomy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Examine personal values: Understanding personal biases is important, but this is not the initial step in ethical decision-making.
B. Agree on a desired outcome: Reaching a consensus is essential but should come after gathering the necessary information.
C. Create a plan of action: Developing a plan is premature without gathering facts and understanding the situation.
D. Collect the relevant facts: Gathering all relevant information is the first step to understanding the ethical dilemma and determining an appropriate response.
Correct Answer is ["B","C","D","E"]
Explanation
A. Pain medication is administered 1 hr before a client has a dressing change. Administering pain medication before a painful procedure is appropriate and respects the client’s comfort needs.
B. The same indwelling urinary catheter is reinserted after a failed attempt. Reinserting the same catheter increases the risk of infection and violates infection control guidelines.
C. Medications scheduled four times a day are administered 2 hr after the scheduled time. This represents a medication administration error and violates safe medication administration practices.
D. Finger nail marks appear on a client's wrist after a radial pulse was taken. This may suggest physical harm, which is a violation of the client's right to safety.
E. A sublingual medication is crushed and administered through a client's gastrostomy tube. Sublingual medications are designed for absorption under the tongue and should not be altered, as doing so can affect efficacy and absorption.
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