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 Informed consent can be withdrawn at any time, and the client's right to change their mind must be respected.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","D","E"]
Explanation
A reason:
Shoe covers are not typically required for standard precautions when dealing with MRSA-infected wounds. They are used in specific scenarios to prevent environmental contamination.
B reason:
Wearing a gown is essential to protect the nurse's clothing and skin from potential contamination with MRSA.
C reason:
An N95 respirator is not necessary unless there is a concern about airborne transmission, which is not the case with MRSA in a draining wound.
D reason:
A surgical mask may be used to protect the nurse from any potential splashes or to prevent respiratory droplets from contaminating the wound area.
E reason:
Gloves are essential to protect the nurse's hands from contamination and prevent the spread of MRSA. They should be worn during any contact with the wound or contaminated linens.
Correct Answer is D
Explanation
A reason:
Applying cornstarch to keep the skin dry is not recommended because it can lead to irritation and promote fungal growth. Instead, barrier creams or moisture-wicking products are more appropriate to maintain skin dryness and integrity.
B reason:
Repositioning the client every 3 hours is not frequent enough to effectively prevent skin breakdown in at-risk patients. The standard recommendation is to reposition the client every 2 hours to relieve pressure and reduce the risk of pressure ulcers.
C reason:
Massaging bony prominences is not advisable as it can cause additional trauma to the skin and underlying tissues, potentially worsening the risk of skin breakdown. Gentle repositioning and cushioning are more effective strategies.
D reason:
Providing the client with a diet high in protein is essential for maintaining skin integrity. Protein is vital for tissue repair and regeneration, and a high-protein diet supports overall skin health and resilience against breakdown.
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