The healthcare provider discusses with a male client the need for a cardiac catheterization, describes the risks and benefits of the procedure, and asks the nurse to have the client sign the consent form. When the nurse presents the consent form for signature, the client hesitates and asks the nurse how the wires will keep his heart going. Which action should the nurse take?
Explain the procedure again in detail and clarify any misperceptions.
Postpone the procedure until the client understands the risks/benefits.
Call the client's next of kin and have them provide verbal consent.
Notify the healthcare provider of the client's lack of understanding.
The Correct Answer is D
Choice A rationale: It is the role of the heathcare provider to provide the patient with explanation for the procedure and ensure their understanding.
Choice B rationale: Postponing the procedure may not be necessary if the client's concerns can be adequately addressed through communication and education. Choice C rationale: Calling the client's next of kin for verbal consent is not appropriate in this situation, as the client is capable of providing informed consent once concerns are addressed.
Choice D rationale: Notifying the healthcare provider is necessary as it is their role to obtain informed consent. They should also address any patient specific concerns
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale: The client post triple coronary bypass with serosanguinous drainage in one chest tube requires attention but is not the highest priority based on the information provided.
Choice B rationale: The client with diabetic ketoacidosis and a blood glucose level of 195 mg/dl (10.8 mmol/L) needs immediate attention due to the elevated glucose level but the client with a pneumothorax and low oxygen saturation takes precedence.
Choice C rationale: The client with an Ileal conduit and scant blood in the drainage pouch is a concern but not as urgent as the client with diabetic ketoacidosis.
Choice D rationale: The client with a pneumothorax has a life-threatening condition that requires immediate attention. A pulse oximeter reading of 90% indicates hypoxia, which can lead to organ damage and death.
Correct Answer is D
Explanation
Choice A rationale: While Magnet status can enhance a hospital's reputation and attract patients, the primary purpose of seeking Magnet status is to acknowledge and validate the quality of nursing care, rather than primarily serving as a marketing tool.
Choice B rationale: While Magnet status may contribute to attracting highly qualified nursing staff, the primary focus is on recognizing and promoting excellence in patient care, not specifically on the recruitment of nurses with a particular educational background.
Choice C rationale: Magnet status is not primarily focused on the breadth of services a facility provides. Instead, it is centered on the quality and excellence of nursing care.
The designation does not necessarily indicate the quantity or variety of services offered by a healthcare facility.
Choice D rationale: Magnet status is a designation granted by the American Nurses Credentialing Center (ANCC) to healthcare organizations that demonstrate excellence in nursing practice and outstanding patient care. It signifies that the facility has met rigorous standards for nursing quality, professionalism, and overall commitment to delivering exceptional care to patients.
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