What would be the most effective way for a nurse to validate "informed consent?"
a. Check the chart for a completed and signed consent form.
b. Determine from the physician what was discussed with the patient.
c. Ask the family whether the patient under-stands the procedure.
d. Ask the patient what he or she understand regarding the procedure.
D
Asking the patient (not the family unless the patient is a minor child) what he or she understands regarding the procedure is an effective way to validate informed consent. Informed consent in the health care setting is a process whereby a patient is informed of the risks, benefits, and alter-natives of a certain procedure and then gives consent for the procedure to be done. The piece of paper is simply evidence that the informed consent process has been completed. Determining from the physician what was discussed does not guarantee that the patient understands what was explained.
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Which factor should the nurse include when teaching a parent about the care of a newborn in a Pavlik harness for hip dysplasia?
a. The harness may be removed with every diaper change. b. The harness is used to maintain the infant's hips in flexion and abduction and external rotation. c. The harness is only the first step of treatment. d. The harness is worn for 2 weeks.
An important concept for nurses to keep in mind when providing adoption counseling with pregnant teenagers is
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A nurse is making a home visit and discovers that a patient's wound infection has gotten worse. The nurse cleans and redresses the wound. What should the nurse do next?
a. Notify the health care provider of the findings before leaving the home. b. Ask the home health facility nurse manager to contact the health care provider. c. Document the findings and confirm with the patient the date of the next home visit. d. Tell the patient that the health care provider will be notified before the next home visit.
The patient with which diagnosis should have the highest priority for teaching regarding foods that are high in magnesium?
a. Severe hemorrhage b. Diabetes insipidus c. Oliguric renal disease d. Adrenal insufficiency