The nurse takes an informed consent document to the patient's room in preparation for an emergency surgical procedure. The patient states, "Doc said he would tell me all about the surgery when he gets here
Do you know what they are going to do?" What is the nurse's best response? 1. "Let's wait on signing this until your physician has talked to you.".
2. "Let me go get a medical surgical textbook so I can use the pictures to explain the procedure.".
3. "I am not certain; let me call the nursing supervisor to explain it to you.".
4. "Go ahead and sign this so we will have that part done when the physician gets here.".
1
Rationale 1: The informed consent document should not be signed until the procedure has been explained to the patient, and the explanation is the responsibility of the physician.
Rationale 2: This nurse should not explain the procedure.
Rationale 3: This nurse should not ask another nurse to explain the procedure.
Rationale 4: The signing of this document must wait until the patient is educated about the procedure so that true "informed" consent can be given.
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The nurse is providing care to a female client who is diagnosed with coronary artery disease. The client states to the nurse, "I don't know how this happened." Which response by the nurse is the most appropriate?
A) "Women who take oral contraceptives are more likely to develop this disease." B) "Women who have children later in life often develop this disease" C) "Women with a history of sexually transmitted infections are more likely to develop this disease." D) "Women who conceive through the use in in-vitro fertilization are more likely to develop this disease."
The nurse would perform passive range-of-motion on a client:
a. until pain is felt by the client. b. to the point of slight resistance. c. with the client sitting up. d. on the extremities that the client can exercise unassisted.
What is the priority nursing intervention for a child hospitalized with hemarthrosis resulting from hemophilia?
a. Immobilization and elevation of the affected joint b. Administration of acetaminophen for pain relief c. Assessment of the child's response to hospitalization d. Assessment of the impact of hospitalization on the family system
A client recently diagnosed with Paget's disease of the bone asks the nurse how this disease was acquired. What is the rationale for the nurse's response? This disease
A. Occurs in postmenopausal women who have a sedentary lifestyle. B. Is a chromosomal abnormality. C. Is thought to be the result of a latent viral infection. D. Can be acquired from intestinal parasites.