A client tells a nurse, "I do not think I can have the recommended heart surgery because transfusions are against my religion." What is the best response of the nurse in this situation?
Prepare the client for a visit from the client's spiritual advisor.
Obtain all the information needed for the client to make an informed decision.
Tell the client that the surgery is necessary to keep them alive and is the only choice.
Have the client sign a form stating refusal of the treatment.
The Correct Answer is B
A. While involving a spiritual advisor may be helpful, the nurse’s priority is to ensure the client is fully informed before decisions are made.
B. Providing all relevant information allows the client to weigh risks and options and make an informed decision respecting their beliefs.
C. Forcing information or pressuring the client disregards their autonomy and beliefs.
D. Having the client sign refusal without thorough discussion does not support informed consent or shared decision-making.
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Related Questions
Correct Answer is C
Explanation
A. It’s important for clients to ask for pain medications, this is not a misconception.
B. Nurses are indeed there to help relieve pain, this is a correct belief.
C. Many clients mistakenly fear they will become addicted to pain medications, which is a common misconception.
D. Clients should not have to endure pain without help, this is a correct understanding.
Correct Answer is C
Explanation
A. Bed rest orders may limit activity, but leg exercises are usually encouraged as soon as possible to prevent venous stasis unless contraindicated by the doctor.
B. Performing leg exercises lying on the stomach is less common and may be uncomfortable or contraindicated depending on the surgery.
C. Starting leg exercises before and immediately after surgery promotes circulation and helps prevent venous stasis and deep vein thrombosis.
D. Lifting both legs off the bed at once is a strenuous activity not typically recommended for preventing venous stasis and may not be safe postoperatively.
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