A nurse is teaching a newly licensed nurse about informed consent. Which of the following information should the nurse include in the teaching?
A nurse should explain surgical risks to a client.
A client who is unable to write cannot provide informed consent.
A client can refuse a procedure after signing an informed consent form.
A client who is blind needs a guardian to provide informed consent.
The Correct Answer is C
A. A nurse should explain surgical risks to a client. – Incorrect. The provider (physician or surgeon) is responsible for explaining surgical risks, benefits, and alternatives. The nurse only verifies that informed consent was obtained and clarifies questions.
B. A client who is unable to write cannot provide informed consent. – Incorrect. A client who cannot write may provide consent verbally or with an "X" if witnessed appropriately.
C. A client can refuse a procedure after signing an informed consent form. – Correct. Clients have the right to withdraw consent at any time before the procedure is performed.
D. A client who is blind needs a guardian to provide informed consent. – Incorrect. A blind client can provide informed consent as long as they understand the procedure. The consent form can be read aloud if needed.
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Related Questions
Correct Answer is B
Explanation
A. Insulin vials should not be shaken because this can create air bubbles, leading to inaccurate dosing. Instead, NPH insulin should be gently rolled between the palms to evenly mix the suspension. Regular insulin does not require mixing.
B. Once regular and NPH insulin are mixed, they should be administered promptly to maintain their stability and effectiveness. Delaying administration may alter insulin absorption, leading to unpredictable glucose control.
C. Regular insulin should be drawn up before NPH insulin to prevent contaminating the clear regular insulin with the cloudy NPH insulin. The correct order is to inject air into the NPH vial first (without withdrawing insulin), then inject air into the regular insulin vial, withdraw the regular insulin, and finally withdraw the NPH insulin.
D. The correct technique is to first inject air into the NPH vial, then inject air into the regular insulin vial. This prevents contamination and maintains sterility. However, when withdrawing insulin, regular insulin is drawn first to prevent mixing of NPH insulin into the regular insulin vial.
Correct Answer is C
Explanation
A. Data comparison should be done after establishing the standards and collecting data.
B. While data collection is important, the first step is to determine what the accepted hand hygiene standards are.
C. This is the correct answer. The first step in an audit process is to determine the accepted hand hygiene standards to provide a basis for evaluation.
D. Corrective measures should only be taken after data has been collected and analyzed.
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