A patient questions why his leg is being shaved if he is scheduled to have open-heart surgery. Which of the following should the nurse do in this situation?
1. Contact the health care provider because the patient is not completely informed about the procedure.
2. Explain that the leg veins will be used for the surgery.
3. Tell the patient that the doctor wrote an order to shave his leg.
4. Document that the patient refused to have his leg prepped prior to surgery.
Contact the health care provider because the patient is not completely informed about the procedure.
Rationale: The nurse has the responsibility to contact the health care provider because it was obvious that the patient does not understand everything about the open-heart surgery procedure. The nurse should not supplement information provided, nor should the nurse state that the health care provider wrote the order to have the leg shaved. The nurse should also not document that the patient refused to have his leg prepped prior to surgery, but should contact the surgeon to provide additional information so the patient can provide informed consent.
You might also like to view...
In some situations, the perinatal nurse administers betamethasone to the laboring woman at least 24 hours prior to birth, if possible, to prompt the production of fetal surfactant and hopefully improve respiratory functioning in the neonate
Which of the following conditions are contraindications to receiving this drug? A) Pregnancy induced hypertension (PIH) B) Emergency cesarean section C) Preterm birth D) Fetal asphyxia during childbirth
3. Four causative factors related to domestic violence are what?
A) Lack of money, lack of time, higher education, and low self-esteem B) Drug or alcohol abuse, lack of nurturing, poor socioeconomic status, and poor communication skills C) Low educational level, physical illness, high social support, and learned behaviors D) Learned behaviors, physical illness, low social support, and higher education
A nurse is teaching a group of students about how CNS drugs are developed. Which statement by a student indicates a need for further teaching?
a. "Central nervous system drug development relies on observations of their effects on human behavior." b. "Studies of new central nervous system drugs in healthy subjects can produce paradoxical effects." c. "Our knowledge of the neurochemical and physiologic changes that underlie mental illness is incomplete." d. "These drugs are developed based on scientific knowledge of CNS transmitters and receptors."
C.'s mother asks, "Why does C. keep getting ear infections? Is there something I should do?"
What will be an ideal response?