A nurse is assisting a client who signed an informed consent form for surgery but has since expressed doubts about the need for surgery. Which of the following statements should the nurse make?
The procedure can’t be canceled once the consent is signed.
It is in your best interest to have this surgery now.
The surgeon will answer your questions before surgery.
Let me explain the surgery to you.
The Correct Answer is C
Answer and explanation
The correct answer is Choice C.
Choice A rationale
Procedures can be canceled even after consent. This statement disregards the client’s autonomy and right to change their decision regarding the planned surgery.
Choice B rationale
Encouraging immediate surgery does not respect the client’s doubts. This approach may undermine trust and does not address the client’s need for reassurance or clarification.
Choice C rationale
The surgeon is the most qualified to address the client’s concerns. Providing accurate, detailed explanations respects the client’s autonomy and supports informed decision-making about the surgery.
Choice D rationale
Nurses are not responsible for explaining surgical procedures. This explanation should be provided by the surgeon to ensure clarity, accuracy, and client understanding of the medical details.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Severe but survivable injuries demand immediate care to stabilize critical functions like airway, breathing, and circulation. Prioritizing care ensures better survival outcomes, especially with red tag cases requiring prompt medical intervention.
Choice B rationale
Minor injuries do not threaten life or major functions, so they do not require immediate care. Patients with minor issues are generally green-tagged and can wait without significant adverse outcomes.
Choice C rationale
Non-life-threatening injuries needing follow-up care may have minimal short-term risks, making them less urgent. Such cases often align with yellow tag classifications for priority but non-immediate attention.
Choice D rationale
Injuries without urgent attention lack immediate risk to life or function. These cases can afford to wait without compromising patient outcomes, especially under mass casualty triage protocols.
Correct Answer is B
Explanation
Choice A rationale
Dryness is not indicative of IV infiltration as this condition involves fluid leakage into surrounding tissue, typically leading to swelling, tenderness, or other abnormal signs at the site.
Choice B rationale
Edema is a common manifestation of IV infiltration caused by fluid leaking into interstitial spaces, leading to visible and palpable swelling, which may impair IV medication delivery and compromise tissue integrity.
Choice C rationale
Erythema often indicates inflammation or phlebitis, not infiltration, as infiltration usually causes pale, cool skin due to fluid collection in surrounding tissues rather than vascular irritation.
Choice D rationale
A distended vein is associated with venous congestion or occlusion rather than infiltration. Infiltration involves fluid leakage, leading to swelling and pallor, not vein distension or increased visibility.
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