A nurse is obtaining informed consent for an adolescent who is scheduled for a cardiac catheterization. The adolescent's guardian states, "I don't understand why they need to do this procedure." Which of the following actions should the nurse take?

Request assistance from the anesthesiologist to clarify the misunderstanding.

Explain the procedure to the adolescent and their guardian.

Witness the adolescent's signature on the informed consent form.

Notify the provider who is scheduled to perform the procedure.

Answer and Explanation

The Correct Answer is D

A. Requesting assistance from the anesthesiologist may not be appropriate as they may not be as familiar with the specifics of the procedure as the provider performing it.
B. Explaining the procedure is not the nurse's role.
C. Witnessing the signature is a procedural task that does not address the guardian's need for understanding the necessity of the procedure.
D. Notifying the provider is the most appropriate action because they can provide a detailed explanation and answer specific questions the guardian may have, ensuring informed consent is truly informed.

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Correct Answer is B

Explanation

A. Setting the water heater to 60°C (140°F) increases the risk of scalding burns, so it is not a recommended safety measure.
B. Toddlers are curious and may try to pull or chew on electrical wires, which can cause electrocution or fire hazards. The nurse should advise parents to keep electrical wires out of reach or secured with cord covers or tape.
C. Encouraging outdoor activities between 1100 and 1300 exposes toddlers to excessive sun exposure and heat, which can cause sunburns or heatstroke. The nurse should recommend avoiding outdoor activities during peak sun hours and applying sunscreen and protective clothing when outdoors.
D. Turning pot handles toward the front of the stove is a dangerous practice that can cause toddlers to reach for them and spill hot liquids or food on themselves. The nurse should instruct parents to turn pot handles toward the back of the stove or use rear burners when possible.

A. A toddler who has a new diagnosis of osteomyelitis and is to receive an IV bolus of nafcillin B. An adolescent who is in skin traction and reports a pain level of 7 on a scale from 0 to 10 C. An adolescent who has sickle cell anemia and slurred speech D. A toddler who has a partial-thickness burn on his right hand and requires a dressing change.

Correct Answer is C

No explanation

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A nurse is obtaining informed consent for an adolescent who is scheduled for a cardiac catheterization. The adolescent's guardian states, "I don't understand why they need to do this procedure." Which of the following actions should the nurse take?

Nursing Test Bank

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