A newly licensed nurse is obtaining consent for a surgical procedure.
Which action by the newly licensed nurse is most appropriate?
Making sure the consent is signed and in the patient's chart in a timely manner.
Verifying the necessity of the surgical procedure before placing the consent in the chart.
Asking a family member to translate the consent into the language the patient understands.
Explaining the risks and benefits of the surgical procedure prior to getting a signature.
The Correct Answer is
Choice A rationale:
Making sure the consent is signed and in the patient's chart in a timely manner is an important step in the consent process. However, the most appropriate action for the nurse in this situation is to verify the necessity of the surgical procedure before placing the consent in the chart. This is crucial to ensure that the patient fully understands the procedure they are consenting to and that it is medically necessary. Verifying the necessity of the surgical procedure helps in preventing unnecessary procedures, promoting patient safety, and adhering to ethical principles.
Choice B rationale:
Verifying the necessity of the surgical procedure before placing the consent in the chart is the most appropriate action for the newly licensed nurse. This step ensures that the procedure is medically necessary, aligns with the patient's condition, and promotes informed decision-making. By confirming the necessity, the nurse upholds the principle of beneficence, ensuring the patient's well-being, and autonomy, allowing the patient to make informed decisions about their healthcare.
Choice C rationale:
Asking a family member to translate the consent into the language the patient understands might be helpful in improving the patient's understanding of the procedure. However, the primary concern in this situation is verifying the necessity of the surgical procedure. While communication is essential, it does not address the core issue of confirming the medical need for the surgery.
Choice D rationale:
Explaining the risks and benefits of the surgical procedure prior to getting a signature is a vital step in the consent process. However, the question specifically asks for the most appropriate action, which is to verify the necessity of the procedure. Explaining the risks and benefits is an important follow-up step after ensuring the procedure's necessity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Permitting smoking in the home, even with low-flow oxygen, is highly dangerous and increases the risk of fire. Oxygen supports combustion, and any open flames, including smoking materials, can lead to a catastrophic fire. Therefore, this option is incorrect and unsafe.
Choice B rationale:
Placing the oxygen tank in direct sunlight is not advisable. Oxygen tanks should be stored in cool, well-ventilated areas away from direct sunlight, heat sources, and flammable materials. Storing the tank in direct sunlight can increase the pressure inside the tank, potentially leading to leaks or ruptures.
Choice C rationale:
Encouraging the patient to use electric razors is a safe practice when wearing oxygen. Electric razors eliminate the risk of open flames, reducing the potential for accidents. This option promotes patient safety and is a suitable instruction for patients using oxygen at home.
Choice D rationale:
Not using electrical equipment near the oxygen administration set is crucial for patient safety. Electrical equipment can generate sparks, posing a significant fire hazard in the presence of oxygen. Instructing patients to keep electrical devices away from oxygen supplies helps prevent accidents and ensures a safe home environment for patients requiring oxygen therapy.
Correct Answer is ["A","B","D","E"]
Explanation
Choice A rationale:
Encourage the patient to use an incentive spirometer. Rationale: Encouraging the use of an incentive spirometer helps improve lung function and prevent respiratory complications. It promotes deep breathing and prevents atelectasis, especially in patients experiencing dyspnea.
Choice B rationale:
Auscultate lung sounds bilaterally. Rationale: Auscultating lung sounds helps the nurse assess for abnormal breath sounds, such as wheezing or crackles, which can indicate respiratory distress. This assessment is crucial in managing a patient with dyspnea.
Choice C rationale:
Ambulate the patient in the hall. Rationale: Ambulating the patient can worsen dyspnea in some cases, especially if the patient is experiencing severe respiratory distress. Therefore, this intervention may not be appropriate for a patient with dyspnea.
Choice D rationale:
Position the bed in high fowlers. Rationale: Positioning the patient in high fowlers (sitting upright with the head of the bed elevated) helps improve lung expansion and ease breathing. This position maximizes the patient's lung capacity and can provide relief from dyspnea.
Choice E rationale:
Assess the pulse oximetry. Rationale: Monitoring pulse oximetry levels is essential in assessing the patient's oxygen saturation. It helps the nurse determine if the patient is receiving adequate oxygenation, which is crucial in managing dyspnea. A normal oxygen saturation range is typically 95% to 100%.
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