A nurse enters a client’s room to obtain informed consent for a gastroscopy. The client states he does not understand the procedure. Which of the following actions should the nurse take?

Educate the client about the risks of refusing the procedure

Complete an incident report

Inform the provider that the client requires clarification about the procedure

Answer the client’s questions concerning the procedure

Answer and Explanation

The Correct Answer is C

a.   While educating the client about the risks of refusing the procedure is important, it should not be the first action taken when the client does not understand the procedure itself.
b.   Completing an incident report is not necessary in this situation, as there is no indication of an adverse event or error.
c.   When a client does not understand a procedure, it is essential to inform the provider so that they can provide clarification and address any questions or concerns the client may have.
d.   While answering the client's questions is important, the nurse may not have the expertise or authority to provide the level of clarification required. It is best to involve the provider in this situation.

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Correct Answer is B

Explanation

a. Keeping the ring for the client until after the surgery may not ensure its safety and could lead to loss or misplacement.
b. Placing the client's ring in the facility safe ensures its security and prevents loss or theft during the surgical procedure.
c. Taping the ring securely to the client's finger may not be comfortable or safe during surgery and could potentially lead to complications.
d. Placing the ring in the bag with the client's clothes may not ensure its security and could lead to loss or misplacement.

A. Limited social support B. Decreased self-esteem C. Inadequate food supply D. Low pain tolerance

Correct Answer is D

Explanation

a. While limited social support is important to address for a successful discharge plan, it may not be as urgent as addressing issues directly related to the client's recovery from surgery.
b. Decreased self-esteem is a significant concern but may not directly impact the client's immediate postoperative recovery and discharge plan.
c. Inadequate food supply is important to address for the client's overall well-being but may not be as urgent as addressing issues directly related to the client's recovery from surgery.
d. Low pain tolerance can significantly affect the client's recovery process and may require immediate attention to ensure adequate pain management postoperatively.

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A nurse enters a client’s room to obtain informed consent for a gastroscopy. The client states he does not understand the procedure. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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