A nurse is preparing to witness a client's signature on an informed consent for a total knee arthroplasty. Which of the following client stat indicates the nurse should contact the surgeon?
"I wonder if the metal in my knee will show up in airport screenings."
"The physical therapy has not been working, so I will need to have the surgery."
"I look forward to being able to bend my knee again when I sit in a chair."
"I am thankful there are no serious complications from this type of surgery."
The Correct Answer is D
A. "I wonder if the metal in my knee will show up in airport screenings.": This statement reflects curiosity and does not indicate a lack of understanding of the procedure or its risks.
B. "The physical therapy has not been working, so I will need to have the surgery.": The client is expressing a reason for pursuing surgery, which shows understanding of the indication and is appropriate.
C. "I look forward to being able to bend my knee again when I sit in a chair.": This statement demonstrates realistic expectations for postoperative outcomes, indicating understanding of the procedure’s benefits.
D. "I am thankful there are no serious complications from this type of surgery.": This statement indicates a misunderstanding of informed consent. The client shows a lack of awareness that all surgeries carry potential risks. The nurse should contact the surgeon to ensure the client fully understands possible complications before signing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Hepatotoxicity: Vancomycin is not commonly associated with liver toxicity. While liver function may be monitored in clients receiving multiple medications, hepatotoxicity is not a primary concern with vancomycin therapy.
B. Ototoxicity: Vancomycin can cause ototoxicity, particularly with high doses or prolonged therapy. This adverse effect may present as tinnitus or hearing loss, making it important for the nurse to monitor the client’s auditory function during treatment.
C. Hypercalcemia: Vancomycin does not affect calcium metabolism, so hypercalcemia is not an expected adverse reaction. Monitoring calcium levels is not routinely necessary for vancomycin administration.
D. Hypertension: Hypertension is not a known adverse effect of vancomycin. Blood pressure monitoring is standard for overall care, but vancomycin itself does not typically cause elevations in blood pressure.
Correct Answer is C
Explanation
A. Arterial blood gases: ABGs assess acid-base balance and respiratory status, which are not directly affected by lithium therapy. They are not required prior to initiating lithium.
B. Total cholesterol: Lithium does not significantly impact lipid metabolism, so baseline cholesterol is not necessary before starting therapy.
C. Thyroid hormones: Lithium can affect thyroid function and may cause hypothyroidism over time. Evaluating baseline thyroid hormone levels prior to therapy helps monitor for potential adverse effects and guides ongoing management.
D. Hemoglobin: Lithium does not directly affect hemoglobin levels, so baseline hemoglobin measurement is not required for safe initiation of therapy.
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