A nurse is preparing to witness a client who is scheduled for a bilateral mastectomy sign the informed consent form. The client states, "I am glad they are not taking both breasts." Which of the following actions should the nurse take?

Check with the surgery department that the procedure is correct.

Notify the provider after the client signs the form.

Explain to the client that both breasts are to be removed.

Ask the provider to clarify the procedure with the client before she signs the form.

Answer and Explanation

The Correct Answer is D

A. Check with the surgery department that the procedure is correct. While important, it does not address the client's misunderstanding.
B. Notify the provider after the client signs the form. The client should not sign the form until they understand the procedure.
C. Explain to the client that both breasts are to be removed. The nurse should not provide surgical explanations beyond their scope.
D. Ask the provider to clarify the procedure with the client before she signs the form. The provider must ensure the client understands the procedure before consent is signed.

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Correct Answer is C

Explanation

A. Decrease in perspiration: A decrease in perspiration is a normal physiological change associated with aging. Sweat glands become less active, leading to reduced perspiration.
B. Thinning of the fingernails: While nail changes can occur with aging, thinning of the fingernails is not as commonly highlighted as a key physiological change compared to bone mass loss or decreased perspiration.
C. Loss of bone mass: Loss of bone mass is a well-documented physiological change associated with aging, leading to conditions like osteoporosis.
D. Decrease in pain threshold: The pain threshold may actually increase with age, making older adults less sensitive to pain rather than more sensitive.

A. Potassium chloride 20 mEq oral every other day B. Regular insulin 2U SQ before meals C. Vancomycin 1 g IV piggyback every 8 hr D. Ativan 0.5 mg IV every 2 hr as needed for anxiety

Correct Answer is B

Explanation

A. Potassium chloride 20 mEq oral every other day This statement does not contain any error-prone abbreviations.
B. Regular insulin 2U SQ before meals The abbreviation "U" for units can be mistaken for "0" or "4", leading to dosing errors. The correct term is "units".
C. Vancomycin 1 g IV piggyback every 8 hr This statement does not contain any error-prone abbreviations.
D. Ativan 0.5 mg IV every 2 hr as needed for anxiety This statement does not contain any error-prone abbreviations.

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A nurse is preparing to witness a client who is scheduled for a bilateral mastectomy sign the informed consent form. The client states, "I am glad they are not taking both breasts." Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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