A nurse has completed an informed consent form with a client. The client then states, "I have changed my mind and do not want to have the procedure done." Which of the following actions should the nurse take?
Notify the surgeon that the client wishes to withdraw informed consent for the procedure.
Proceed with preparation of the patient for the surgical procedure.
Remind the client that a signed informed consent form is a legally binding document.
Inform the surgical team to cancel the client's surgery.
The Correct Answer is A
A reason:
Notifying the surgeon that the client wishes to withdraw informed consent for the procedure is correct. The client's autonomy and right to refuse treatment must be respected, and the surgeon should be informed to discuss the client's concerns and possible alternatives.
B reason:
Proceeding with preparation for the surgical procedure without addressing the client's withdrawal of consent violates ethical and legal standards. The client's decision must be honored.
C reason:
Reminding the client that a signed informed consent form is legally binding is incorrect. Informed consent can be withdrawn at any time, and the client's right to change their mind must be respected.
D reason:
Informing the surgical team to cancel the surgery is not the nurse's decision alone. The nurse should first notify the surgeon to ensure that all necessary discussions and documentation occur.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A reason:
Assessing the pedal pulses with a Doppler device is not the appropriate next step for an irregular radial pulse. The focus should be on assessing the heart's rhythm and rate directly.
B reason:
Assessing the apical pulse for a full minute is correct. This provides a more accurate assessment of the heart rate and rhythm, especially in the case of an irregular pulse.
C reason:
Assessing the apical pulse with a Doppler device is not necessary. The apical pulse can be accurately assessed using a stethoscope.
D reason:
Assessing the pedal pulses for a full minute is not relevant in this context. The apical pulse provides more direct information about the heart's rhythm and rate.
Correct Answer is D
Explanation
A reason:
Using each cleansing wipe twice is not correct procedure. Cleansing wipes should be used once and then discarded to maintain cleanliness and avoid contamination of the sample.
B reason:
Urinating a little and then stopping is part of the procedure, but the client should also understand the importance of cleansing. While stopping the stream initially is correct, it is not sufficient alone without proper cleansing.
C reason:
Cleaning the inside of the container with a wipe is incorrect. The inside of the container should remain sterile, and cleaning it with a wipe could introduce contaminants. The container is designed to be clean and sterile inside.
D reason:
Using the cleansing wipe from front to back is correct. This method ensures that bacteria from the anal area do not contaminate the urethral opening, which helps to collect a clean midstream urine sample.
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