A nurse is obtaining informed consent from a client who is preoperative. Which of the following actions should the nurse take? (Select all that apply.)
Explain the surgical procedure to the client.
Validate the signature is authentic.
Verify the client understands the surgical procedure.
Confirm that the consent is voluntary.
Establish that the client is able to pay for the surgical procedure.
Correct Answer : B,C,D
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. This statement suggests symptoms of vitamin B12 deficiency or glossitis, which are not typical signs of digoxin toxicity. Therefore, it is unlikely to indicate digoxin toxicity.
B. Blurred vision is a common neurological symptom of digoxin toxicity. It occurs due to disturbances in visual acuity and color vision, which can manifest as seeing halos around lights or difficulty focusing. Therefore, this statement is indicative of potential digoxin toxicity.
C. Weight gain can occur due to fluid retention, which is a symptom of heart failure rather than digoxin toxicity. Digoxin toxicity typically presents with neurological and gastrointestinal symptoms rather than weight gain.
D. Constipation is not typically associated with digoxin toxicity. Gastrointestinal symptoms such as nausea, vomiting, and anorexia are more common with digoxin toxicity, but constipation is not a specific indicator.
Correct Answer is ["28"]
Explanation
(Volume in mL * Drop Factor) / Time in minutes.
Volume is 1,000 mL, the drop factor is 10 gtt/mL, and the time is 6 hours.
First, convert the hours into minutes (6 hours * 60 minutes/hour = 360 minutes). Then, multiply the volume by the drop factor (1,000 mL * 10 gtt/mL = 10,000 gtt).
Finally, divide this number by the total time in minutes (10,000 gtt / 360 minutes ≈ 27.78
gtt/min).
Rounding to the nearest whole number, the nurse should set the manual IV infusion to deliver 28 gtt/min.
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