The illiterate patient signs the surgical consent form with an "X." The nurse is aware that this "X" is:

not an acceptable signature.

legal if it is witnessed.

required to be accompanied by a picture identification.

acceptable if the surgeon is willing.

Answer and Explanation

The Correct Answer is B

A. Not an acceptable signature. This is incorrect because an "X" is legally acceptable if properly witnessed.

B. Legal if it is witnessed. An "X" is a valid legal signature if a witness verifies that the patient understands and voluntarily consents to the procedure.

C. Required to be accompanied by a picture identification. Picture identification is not necessary for consent validity; the primary requirement is witnessing.

D. Acceptable if the surgeon is willing. Consent must meet legal standards, not just the surgeon’s approval. A witness is required for it to be valid.

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Correct Answer is B

Explanation

A. Change the surgical dressing immediately to prevent infection. Changing the dressing immediately is unnecessary unless there is a significant issue, such as excessive drainage or signs of infection. Minor drainage can be observed unless there's a need for further intervention.

B. Outline the area of drainage with a pen and mark it with the date and time. This is the correct action to monitor the drainage over time. By marking the area, the nurse can track whether the drainage increases, stays the same, or decreases, which helps in assessing the wound’s status and effectiveness of the surgical dressing.

C. Make a note of the drainage on the worksheet to report it at the end of shift. While documentation is important, it is essential to monitor the drainage immediately after the initial assessment rather than waiting until the end of the shift.

D. Reinforce the dressing with clean gauze sponges and tape. Reinforcing the dressing may be appropriate if drainage is increasing or if the dressing is inadequate, but marking the area first is necessary for accurate tracking.

A. illuminate the interior body cavity in which the surgeon is operating or inspecting. B. allow electricity to penetrate the patient's body. C. provide safety by dissipating electricity from the cautery. D. illuminate the interior body cavity in which the surgeon is operating or inspecting.

Correct Answer is C

Explanation

A. Illuminate the interior body cavity in which the surgeon is operating or inspecting. This function is not related to the grounding pad. Illumination of the surgical area is typically done with surgical lights, not with a grounding pad.

B. Allow electricity to penetrate the patient's body. This is not the purpose of a grounding pad. The grounding pad is used in electrosurgery to safely direct electrical current away from the body to prevent burns or injuries.

C. Provide safety by dissipating electricity from the cautery. The grounding pad is used to provide safety in electrosurgical procedures by allowing electricity from the electrocautery to flow safely through the body and then dissipate. It helps prevent burns and injuries from the electrical current.

D. Illuminate the interior body cavity in which the surgeon is operating or inspecting. This is a repetition of answer choice A, which is incorrect. The grounding pad does not function to illuminate the surgical area.

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The illiterate patient signs the surgical consent form with an "X." The nurse is aware that this "X" is:

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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