A nurse educator is teaching a class of newly licensed nurses about informed consent. Which of the following statements by one of the nurses indicates an understanding of the teaching?

"The client must be competent before signing the consent form."

"I should be in the client's room when the provider is explaining the procedure."

"I will collaborate with the provider before presenting information to the client."

"A nursing supervisor should witness the client signing the consent form."

Answer and Explanation

The Correct Answer is A

Rationale:

A. The client must be competent before signing the consent form. Competence means the client has the ability to understand the information provided, weigh risks and benefits, and make an informed decision. Obtaining informed consent from a client who is not competent is invalid and may be legally and ethically problematic.

B. The nurse’s role is not to be present while the provider explains the procedure, unless requested by the client. The primary responsibility of the nurse is to ensure the client understands and voluntarily signs the consent form, and to clarify any questions, but the explanation is the provider’s responsibility.

C. The nurse does not present the procedure information independently. While collaboration with the provider is important for clarification, the nurse should reinforce understanding, answer questions, and witness the signature, not provide the original procedural explanation.

D. A nursing supervisor is not required to witness consent. Typically, the nurse witnessing the signature ensures the client signed voluntarily and is competent, but there is no requirement for a supervisor to be present.

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Free Nursing Study Resources

Correct Answer is ["B","D"]

Explanation

Rationale:
A. Cotton balls are not recommended for tracheostomy care because fibers can dislodge and enter the airway, increasing the risk of infection or obstruction. Use sterile gauze instead.

B. An obturator is essential for emergency replacement of the tracheostomy tube if it becomes dislodged. The client or caregiver should have one readily available at home for safety.

C. Petroleum jelly is not recommended for tracheostomy care because it can cause tube obstruction or infection if it enters the airway. Use only appropriate water-based products if moisturizing the stoma is needed.

D. An oxygen tank may be necessary if the client requires supplemental oxygen at home. The nurse should assess oxygen needs and ensure proper equipment and safety measures are in place for home use.

A. Assist the nurse to transfer the client to the bed. B. Check the client's dressing for bleeding. C. Obtain the client's vital signs. D. Ask the client if he requires pain medication.

Correct Answer is A

Explanation

Rationale:
A. Assisting the nurse to transfer the client to the bed is an appropriate task to delegate to assistive personnel (AP). It is considered basic care and does not require nursing judgment, making it safe and within the AP’s scope of practice. Safe patient handling protocols should be followed to prevent injury.

B. Checking the client’s dressing for bleeding requires assessment and clinical judgment, which are nursing responsibilities. The AP cannot accurately assess postoperative complications or interpret clinical findings.

C. Obtaining vital signs may sometimes be delegated to APs, but postoperative clients returning from the PACU are unstable, and the nurse must assess vital signs and interpret the data immediately to detect complications. Therefore, this task should remain with the nurse.

D. Asking the client if they require pain medication involves assessment of pain and clinical judgment regarding medication administration. Pain management is a nursing responsibility and cannot be delegated to APs.

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A nurse educator is teaching a class of newly licensed nurses about informed consent. Which of the following statements by one of the nurses indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing discharge planning for a client who has a newly placed tracheostomy tube. The nurse should assess the client's need for which of the following supplies to manage the tracheostomy at home? (Select all that apply.)

Correct Answer is ["B","D"]

Explanation

A nurse is caring for a client who has just returned to the unit from the PACU, Which of the following tasks should the nurse assign to the assistive personnel?

Correct Answer is A

Explanation

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