A 16-year-old boy injured in a motorcycle accident is unconscious and cannot sign the emergency surgical consent form; no family members can be located. The nurse anticipates that:

the opinion of a second surgeon is sought regarding the necessity of the surgery.

the surgeon will write a detailed note about the need for surgery and a registered nurse will then sign the consent.

the hospital social worker can sign the permit.

the hospital attorney must authorize the surgery and sign the consent form.

Answer and Explanation

The Correct Answer is A

A. The opinion of a second surgeon is sought regarding the necessity of the surgery. This is an appropriate course of action when consent cannot be obtained from the patient or family, especially in emergency situations to ensure the necessity of surgery.

B. The surgeon will write a detailed note about the need for surgery and a registered nurse will then sign the consent. RNs do not have the legal authority to sign surgical consent forms, which should be signed by a legal guardian or the healthcare provider in emergencies when appropriate.

C. The hospital social worker can sign the permit. Social workers do not have the authority to sign consent forms. Consent must typically come from a legally authorized individual.

D. The hospital attorney must authorize the surgery and sign the consent form. The hospital attorney is not typically involved in emergency decision-making about surgery unless there are significant legal concerns, which is not the case in this scenario.

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Correct Answer is C

Explanation

A. Distract the client by giving him reading material. Distraction may not address the underlying anxiety and could delay processing the client's concerns about the surgery.

B. Suggest that he take a walk around the unit. While walking can help with anxiety in some patients, it does not directly address the client's expressed concern about the surgery itself.

C. Ask him to describe his concerns. The nurse should acknowledge the patient's feelings by encouraging them to express their concerns. This helps reduce anxiety and provides valuable information for further support.

D. Refer him to the spiritual care team. While spiritual care may be beneficial later, it’s essential to first address the patient’s immediate concerns before referring them to other services.

A. Recovery care B. Postoperative care C. PACU care D. Perioperative care.

Correct Answer is B

Explanation

A. Recovery care: Recovery is a component of postoperative care, but it does not encompass all aspects of care after surgery.

B. Postoperative care: Postoperative care begins after the patient leaves the post-anesthesia care unit (PACU) and continues until full recovery, including wound healing, pain management, and preventing complications.

C. PACU care: PACU care is a phase within postoperative care but does not represent the complete postoperative period.

D. Perioperative care: Perioperative care refers to the entire surgical experience (before, during, and after surgery), not just the final phase of recovery.

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A 16-year-old boy injured in a motorcycle accident is unconscious and cannot sign the emergency surgical consent form; no family members can be located. The nurse anticipates that:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is scheduled to undergo abdominal surgery and tells the nurse that he is very anxious about the operation. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

The four phases of surgical care are preoperative care, intraoperative care, post anesthesia care, and:

Correct Answer is B

Explanation

The nurse discovers that the signed operative permit has misspelled the patient's name. The nurse must:

A patient who has returned to the surgical nursing unit from the post-anesthesia care unit (PACU) is drowsy and requires verbal stimulation to remain aroused. The best position to maintain an airway for this patient is:

A nurse is caring for a client who is postoperative. Which of the following actions should the nurse take to help prevent an incisional infection?

A nurse is caring for a client who is postoperative and has a prescription for a clear liquid diet. The nurse enters the client's room to find he has just received a dietary tray. Which of the following items on the tray should the nurse remove?

Which of the following should the nurse recognize as a sign of possible infection in a postoperative client? (Select all that apply.)

A nurse is reinforcing preoperative teaching with a client who will undergo abdominal surgery. The nurse explains that the client will wear antiembolism stockings after the procedure. When the client asks what the stockings do, which of the following responses should the nurse make?

The circulating nurse is responsible for:

A patient who had abdominal surgery is complaining of "gas pains" and has distention of the abdomen and flatus. To promote patient comfort, the nurse should advise: