After the nurse witnesses a preoperative client signing the surgical consent form, the nurse signs the form as a witness. Which is the legal implication of the nurse's signature on the client's surgical consent form? Select all that apply.
Verifies that the client understands the procedure that is being performed.
The client is competent to sign the consent without impairment of judgment.
The client voluntarily grants permission for the procedure to be done.
The surgeon has explained to the client why the surgery is necessary.
The client understands the risks and benefits associated with the procedure.
Correct Answer : B,C
Choice A rationale
The nurse’s signature on the surgical consent form does not verify the client’s understanding of the procedure. This responsibility lies with the physician or surgeon, who must ensure that the client is fully informed about the nature, risks, benefits, and alternatives of the procedure. The nurse’s role is to witness the client’s signature, confirming that the client has signed the form without coercion and is competent to do so.
Choice B rationale
The client’s competence to sign the consent form is a crucial aspect that the nurse witnesses. By signing as a witness, the nurse attests that the client is mentally sound and capable of making informed decisions about their medical care. This includes verifying that the client is not under the influence of substances that could impair judgment and that they understand the nature of the consent they are giving.
Choice C rationale
The client voluntarily granting permission for the procedure is another key element of the nurse’s witnessing role. The nurse’s signature confirms that the client has signed the consent form of their own free will, without any undue pressure or coercion. This ensures the validity of the consent and protects the client’s rights and autonomy in making healthcare decisions.
Choice D rationale
The explanation of the procedure, its necessity, and potential outcomes are the responsibility of the surgeon or physician. The nurse does not provide this detailed explanation but ensures that the client has had the opportunity to receive this information from the appropriate healthcare provider. The nurse’s signature does not verify that the surgeon has explained the procedure; it simply confirms the witnessing of the client’s signature.
Choice E rationale
Understanding the risks and benefits of the procedure is part of the informed consent process, which the physician or surgeon must explain to the client. The nurse’s role is to witness the client’s signature, ensuring that the client has had the opportunity to receive this information. The nurse’s signature does not confirm the client’s understanding of these details but indicates that the consent was signed voluntarily and competently.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Measuring and discarding residual gastric contents before feeding is generally avoided in infants because it can disrupt gastrointestinal function and increase the risk of aspiration. Instead, monitoring for signs of intolerance or high residuals through clinical observation is preferred.
Choice B rationale
Using the syringe plunger to push formula at a rate of 5 mL per minute is inappropriate because it can create excessive pressure, leading to discomfort, aspiration, or injury to the gastrointestinal tract. Gravity feeding or using an appropriate pump at a controlled rate is safer.
Choice C rationale
Holding the infant with head and shoulders slightly elevated during feeding is recommended. This position helps to prevent aspiration by ensuring that the formula flows smoothly through the esophagus and into the stomach, reducing the risk of regurgitation.
Choice D rationale
Microwaving refrigerated formula to room temperature is unsafe because microwaving can create hot spots in the formula, posing a burn risk to the infant. It is safer to warm the formula by placing the bottle in warm water and ensuring an even temperature.
Correct Answer is ["A","B","C","D"]
Explanation
Choice A rationale
Rechecking all vital signs, including core temperature, is essential to assess the client's overall status and identify any changes that may indicate a worsening condition or complications such as infection.
Choice B rationale
Applying oxygen via nasal prongs at 4 L/minute helps ensure adequate oxygenation, which is crucial for patients who may be experiencing postoperative complications, including fever and increased metabolic demand.
Choice C rationale
Continuing to monitor vital signs every hour is important to detect any further changes in the patient's condition and provide timely interventions if needed. Frequent monitoring allows for close observation of trends.
Choice D rationale
Exposing the client's extremities and applying ice packs to the axilla can help reduce fever by promoting heat loss. This intervention is beneficial in managing elevated body temperature and preventing complications associated with hyperthermia.
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