A nurse is reinforcing teaching with a newly licensed nurse about informed consent. Which of the following statements should the nurse make?
"The client can revoke consent even after the procedure has begun."
"The nurse is responsible for obtaining informed consent.”
"Consent must be obtained from a family member if a client has a mental illness."
"The charge nurse will explain the risks of the procedure to the client.”
The Correct Answer is A
Rationale:
A. "The client can revoke consent even after the procedure has begun.": Clients have the legal right to withdraw consent at any time, including during a procedure. Respecting this autonomy is essential, and healthcare providers must stop the procedure if the client revokes consent.
B. "The nurse is responsible for obtaining informed consent.": Obtaining informed consent is the responsibility of the provider performing the procedure, who must ensure the client understands the risks, benefits, and alternatives. Nurses typically witness and verify the signature but do not obtain consent.
C. "Consent must be obtained from a family member if a client has a mental illness.": Consent depends on the client’s decision-making capacity, not solely on the presence of mental illness. If the client is competent, they can provide consent; if not, a legally authorized representative may be involved.
D. "The charge nurse will explain the risks of the procedure to the client.": Explaining procedure risks is the responsibility of the healthcare provider performing the procedure, not the charge nurse. This ensures that the explanation is accurate and comprehensive.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Restrict alcohol intake to 350 mL (12 oz) of wine per day: This recommendation exceeds the safe alcohol limit for individuals at risk for hypertension. For women, the limit is typically one drink per day, and for men, up to two.
B. Limit caloric intake to 2,500 calories per day: 2,500 calories may still be excessive for many individuals, especially those with sedentary lifestyles. Hypertension risk is more effectively reduced through balanced nutrition and physical activity, not just calorie limits.
C. Walk for 30 min 5 days per week: Regular aerobic exercise like walking improves cardiovascular health and is strongly recommended to prevent and manage hypertension. This frequency and duration align with guidelines to lower blood pressure and support overall wellness.
D. Increase dietary intake of canned vegetables: Canned vegetables often contain high sodium levels, which can contribute to elevated blood pressure. Clients at risk for hypertension should be encouraged to choose fresh or low-sodium alternatives to help control sodium intake.
Correct Answer is B
Explanation
Rationale:
A. Encourage the client to increase fluid intake: Clients undergoing peritoneal dialysis often have fluid restrictions based on residual renal function and ultrafiltration goals. Increasing fluid intake without specific provider guidance may lead to fluid overload.
B. Obtain the client's weight: Daily weight measurement is essential in peritoneal dialysis to assess fluid removal effectiveness and detect signs of fluid retention or dehydration. Weight changes help guide dialysis fluid volume and concentration adjustments.
C. Palpate the access site for a thrill: A thrill is assessed in clients with an arteriovenous (AV) fistula or graft used for hemodialysis, not peritoneal dialysis. Peritoneal dialysis uses a catheter placed in the abdominal cavity, which does not produce a thrill.
D. Auscultate the access site for a bruit: A bruit is associated with blood flow through an AV fistula or graft used in hemodialysis. In peritoneal dialysis, the access is a soft catheter, and auscultation for a bruit is not applicable or expected.
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