A child needs a consent form signed for a minor surgical procedure. Which statement accurately describes the responsibilities of the health care providers when obtaining the consent?
The nurse is responsible for determining that the parents or legal guardians understand what they are signing by asking them pertinent questions.
The physician is responsible for serving as a witness to the signature process.
The physician is responsible for ensure that the consent form is completed with signatures from the parents or legal guardians.
The nurse is responsible for informing the child and family about the procedure and obtaining consent.
The Correct Answer is A
A. The nurse is responsible for determining that the parents or legal guardians understand what they are signing by asking them pertinent questions: Nurses play a key role in verifying comprehension of the procedure, clarifying information, and ensuring that the consent is informed. They do not provide detailed explanations of the procedure but ensure understanding.
B. The physician is responsible for serving as a witness to the signature process: The physician’s primary role is to provide the information about the procedure, risks, benefits, and alternatives, not to act as a witness. Witnessing is typically the nurse’s responsibility if required.
C. The physician is responsible for ensuring that the consent form is completed with signatures from the parents or legal guardians: Physicians ensure informed consent is obtained but do not necessarily verify the actual signatures; this is part of the documentation and nursing verification process.
D. The nurse is responsible for informing the child and family about the procedure and obtaining consent: Nurses reinforce understanding but do not independently provide detailed explanations or obtain legal consent; this remains the physician’s responsibility.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. “I will be sure to avoid getting pregnant for at least 1 year”: After evacuation of a molar pregnancy, pregnancy must be avoided for at least 6 to 12 months to allow monitoring of hCG levels and ensure remission. Rising hCG from a new pregnancy would interfere with detecting persistent trophoblastic disease.
B. “My intake of iron will have to be closely monitored for 6 months.”: Iron supplementation may be needed if anemia is present, but it is not the primary focus of post-molar pregnancy management. Ongoing care centers on serial hCG monitoring rather than nutritional intake.
C. “My blood pressure will continue to be increased for about 6 more months.”: Hypertension related to molar pregnancy typically resolves after evacuation. Persistent elevated blood pressure is not an expected long-term outcome.
D. “I won’t use my birth control pills for at least a year or two.”: Hormonal contraception is recommended after a molar pregnancy to prevent conception during hCG surveillance. Avoiding birth control pills increases the risk of pregnancy and complicates follow-up.
Correct Answer is B
Explanation
A. Pulmonary stenosis: Pulmonary stenosis typically produces a systolic ejection murmur heard best at the upper left sternal border. The murmur is not continuous and does not have the classic machinery-like quality associated with PDA.
B. Patent ductus arteriosus: Patent ductus arteriosus (PDA) allows blood to flow from the aorta to the pulmonary artery, creating a continuous “machinery-like” murmur that is heard throughout systole and diastole. This distinctive murmur is most prominent at the left upper sternal border and is characteristic of PDA, particularly in premature infants.
C. Ventricular septal defect: A ventricular septal defect usually produces a harsh, holosystolic murmur at the lower left sternal border. The murmur is confined to systole and lacks the continuous, machinery-like quality of PDA.
D. Coarctation of the aorta: Coarctation of the aorta often presents with systolic murmurs, diminished femoral pulses, and differential blood pressures between upper and lower extremities. The murmur is not continuous and does not produce the machinery-like sound seen in PDA.
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