When is it appropriate to ask a surgeon to clarify information for a patient who is undergoing surgery? (Select all that apply.)
a. Before the informed consent has been signed
b. When a patient is confused about the reason for the procedure
c. When a patient understands the risks involved in a procedure
d. If there is confusion about the procedure after the informed consent is signed
e. After the surgery has been performed
A, B, D
Patients need to sign all consent forms before you administer any preoperative medications that alter the patient's consciousness. The primary responsibility for informing the patient rests with the surgeon and anesthesia care personnel. However, if the patient is confused or uncertain about a procedure, you are ethically obligated to contact the surgeon and/or anesthesia care provider so that further discussion and clarification are provided to meet the patient's needs. The patient always has the right to refuse surgery or treatment even after giving written consent.
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A patient has been admitted to the emergency department after ingesting an unknown substance. The nurse finds agitation, tachycardia, hypertension, and episodes of tonic-clonic muscle movements
Arterial blood gases reveal normal oxygenation and metabolic acidosis. What ingested substance does the nurse most suspect? A) Antihistamine cold medication B) Carbamate insecticide C) Lomotil D) Cocaine
As the body breaks down protein, nitrogen wastes are broken down into urea, ammonia, and:
a. nitrogen. b. uric acid. c. nitrates. d. creatinine.
Which statements would the nurse make when discussing age-related changes in the hematologic system? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. "When you are past middle age, your hemoglobin levels will be slightly lower than when you were younger.". 2. "You have less red marrow than when you were younger, but will still have this important component even into old age.". 3. "As you continue to age, we will see big differences in your blood cell counts on lab tests.". 4. "You may not respond to immunizations as well because of changes in your cells related to the immune response.". 5. "It may take your body longer to return to the normal amount of blood cells if you are injured or get sick.".
The nurse is concerned that a female client might be experiencing intimate partner violence. Which of the following assessment questions can be used to gain more information from the client? (Select all that apply.)
1. "In the last year have you been hit, slapped, or physically hurt by someone?" 2. "Are you currently sexually active?" 3. "Within the last year has someone made you do something sexual that you did not want to do?" 4. "Is sex satisfying to you?" 5. "Are you afraid of your partner or anyone else?" 6. "Do you have discomfort with intercourse?"