A nurse is witnessing the informed consent for a client who is scheduled for surgery. Which of the following actions should the nurse take?
Ask the client if they understand the procedure.
Describe the procedure to the client.
Inform the client about alternative treatments options.
Explain the risks of the procedure to the client.
The Correct Answer is A
A. Ask the client if they understand the procedure. The nurse’s role in informed consent is to confirm that the client understands the procedure and voluntarily agrees to it. If the client has questions or does not understand, the nurse should notify the provider for further explanation.
B. Describe the procedure to the client. It is the provider’s responsibility to explain the procedure in detail, including what it entails. The nurse should not provide this explanation.
C. Inform the client about alternative treatment options. The provider must discuss alternative treatment options, not the nurse. The nurse can ensure that this discussion has occurred but does not provide the alternatives.
D. Explain the risks of the procedure to the client. The provider is responsible for explaining the risks, benefits, and expected outcomes of the procedure. The nurse’s role is to witness the consent and ensure the client understands.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "Do you have difficulty sleeping at night?" – While sleep disturbances are common in PTSD, this question assesses symptoms rather than support systems.
B. "How do you feel about the current status of your life?" – This question may provide insight into the client’s emotional state but does not directly assess their support systems.
C. "Have you noticed changes in your eating patterns?" – Changes in appetite can occur with PTSD, but this question focuses on physical symptoms rather than support systems.
D. "Are you comfortable discussing the disaster with your family or friends?" – This is the best choice because it directly assesses whether the client has a support system in place and feels comfortable relying on them for emotional support.
Correct Answer is D
Explanation
A. "Apply intermittent suction for 20 to 30 seconds." –
Suctioning should be applied intermittently for no more than 10 to 15 seconds to prevent hypoxia and mucosal damage.
B. "Place the catheter in a location that is clean and dry for later use." –
A suction catheter should not be reused once it has been used; it should be discarded after a single use to prevent infection.
C. "Hold the suction catheter with the clean, nondominant hand." –
The dominant hand should remain sterile and be used to control the suction catheter, while the nondominant hand is used to handle nonsterile equipment.
D. "Use surgical asepsis when performing the procedure." –
Nasotracheal suctioning is a sterile procedure because it involves direct access to the lower airway, requiring surgical asepsis to reduce the risk of infection.
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