A nurse is caring for a client who has a hip fracture that requires surgical repair. Which of the following health care professionals is responsible for obtaining informed consent from the client for the procedure?
Surgeon
Surgical suite nurse
Nurse
Anesthesiologist
The Correct Answer is A
A. Surgeon: The surgeon is responsible for obtaining informed consent from the client. This includes providing the client with all necessary information about the procedure, including its risks, benefits, and alternatives, to ensure that the client can make an informed decision.
B. Surgical suite nurse: While the surgical suite nurse may assist with explaining aspects of the procedure and verifying consent, the primary responsibility for obtaining informed consent lies with the surgeon.
C. Nurse: Although the nurse plays a role in patient education and ensuring the client understands the procedure, the formal process of obtaining informed consent is the responsibility of the surgeon.
D. Anesthesiologist: The anesthesiologist provides information about anesthesia risks and effects but does not obtain consent for the surgical procedure itself.
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Related Questions
Correct Answer is B
Explanation
A. Identifying the client by name when making a referral for home health services: This action is generally permissible if done in the context of necessary care coordination and with appropriate privacy measures in place.
B. Reporting laboratory findings to a member of the client's family: This action violates confidentiality unless the client has given explicit consent for the release of such information.
C. Discussing a client's surgical procedure with the nurse manager: This is usually acceptable within the healthcare team, provided it is done for care coordination or quality improvement purposes and the information is kept confidential.
D. Notifying the provider of physical examination findings: This action is part of standard care procedures and is necessary for the provider to make informed decisions about the client's treatment.
Correct Answer is A
Explanation
A. "I will begin upon the client's admission to the facility.": Discharge planning should start at admission to ensure that all aspects of the client's care and needs are addressed well before the discharge date.
B. "I will begin once the client's discharge order is written.": Waiting for the discharge order delays the discharge planning process and may result in insufficient preparation for the client’s needs.
C. "I will begin once the client's insurance company approves discharge coverage.": Insurance approval is important but should not delay the initiation of discharge planning, which focuses on the client's needs and readiness for discharge.
D. "I will begin 48 hr before the client's discharge.": Starting discharge planning just 48 hours before discharge may not provide enough time to address all aspects of the client’s care and ensure a smooth transition.
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