A nurse is preparing to witness a client sign a consent for a laparoscopic total cholecystectomy. The nurse should delay obtaining the signature and notify the provider if the client makes which of the following statements?

"I might have trouble staying on a low-fat diet after my surgery."

"I can resume my normal activities in 1 to 2 weeks."

"I will plan to be in the hospital for 24 hours following my surgery."

"I hope that removing my appendix will make me feel better."

Answer and Explanation

The Correct Answer is D

A. "I might have trouble staying on a low-fat diet after my surgery."

- This statement reflects a concern about post-operative care and lifestyle adjustments. It's a valid concern but not a reason to delay the consent process or notify the provider. The client's ability to adhere to a low-fat diet can be addressed during pre-operative counseling or post-operative instructions.

B. "I can resume my normal activities in 1 to 2 weeks."

- This statement indicates an understanding of the post-operative recovery time frame, which is generally accurate for many laparoscopic cholecystectomy patients. This statement does not warrant delaying the consent process or notifying the provider.

C. "I will plan to be in the hospital for 24 hours following my surgery."

- This statement shows an understanding of the anticipated hospital stay after the surgery. It aligns with the typical length of hospitalization for a laparoscopic cholecystectomy. There is no need to delay the consent process or notify the provider based on this statement.

D. "I hope that removing my appendix will make me feel better."

- This statement raises a red flag as it indicates a misunderstanding or confusion about the procedure. A laparoscopic cholecystectomy involves removing the gallbladder, not the appendix. This misunderstanding could lead to the wrong procedure being performed. Therefore, it's crucial to delay obtaining the signature and notify the provider to clarify the intended surgery with the client.

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Correct Answer is A

Explanation

A. Fidelity:

This ethical principle is about being faithful and keeping promises. In this context, when the nurse states that they will return as soon as possible with pain medication, they are making a commitment to addressing the client's needs promptly. This aligns with the principle of fidelity because the nurse is demonstrating a commitment to fulfill their promise.

B. Justice:

Justice involves fairness and the equitable distribution of resources and benefits. In the scenario provided, the nurse's actions are more directly related to the principle of fidelity (keeping promises) rather than justice. The focus is on meeting the individual needs of the client, not on the broader concept of fairness in the distribution of resources.

C. Autonomy:

Autonomy is the principle that respects an individual's right to make their own decisions. In the given scenario, there is no explicit mention of the client's decision-making authority. The nurse's statement is more aligned with the principle of fidelity, indicating a commitment to addressing the client's needs, rather than autonomy, which would be more focused on respecting the client's choices and decisions.

D. Nonmaleficence:

Nonmaleficence is the principle of "do no harm." While the nurse is not directly causing harm in this scenario, the focus is more on making a commitment (fidelity) and addressing the client's needs rather than avoiding harm. The nurse's actions are about providing relief and fulfilling a commitment rather than preventing harm.

Correct Answer is ["300"]

Explanation

One way to calculate the IV pump rate is to divide the total volume of fluid by the total time in hours.

In this case, the client needs to receive 1,800 mL of 0.9% sodium chloride over 6 hours.

Therefore, the IV pump rate should be 1,800 mL / 6 hr = 300 mL/hr.

The nurse should ensure the IV pump is set to deliver 300 mL/hr of 0.9% sodium chloride to the client.

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A nurse is preparing to witness a client sign a consent for a laparoscopic total cholecystectomy. The nurse should delay obtaining the signature and notify the provider if the client makes which of the following statements?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who is experiencing abdominal pain. The nurse states that they will return as soon as possible with pain medication. The nurse is demonstrating which of the following ethical principles?

Correct Answer is A

Explanation

A nurse is assisting in the care of a client who is to receive 0.9% sodium chloride 1,800 mL IV over 6 hr. The nurse should ensure the IV pump is set to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["300"]

Explanation

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