A nurse is caring for a client who has provided informed consent in preparation for a procedure. The client states, "I have decided not to have the procedure." Which action should the nurse take?

Discuss alternatives to the procedure.

Inform the provider that the client is withdrawing consent

Explain why this procedure is necessary.

Remind the client the consent form has already has been signed.

Answer and Explanation

The Correct Answer is B

A. While discussing alternatives may be beneficial later, it is not the priority action when consent is withdrawn.

B. Informing the provider ensures the client’s right to withdraw consent is respected and initiates appropriate communication.

C. Explaining why the procedure is necessary may feel coercive and does not prioritize the client’s autonomy.

D. Reminding the client about the signed consent form undermines their right to change their decision.

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Correct Answer is A

Explanation

A. PCA pumps allow clients to self-administer pain medication within prescribed limits when experiencing pain.

B. Doses are controlled by a lockout mechanism to prevent overdosing.

C. PCA pumps deliver medication as needed, not a continuous infusion unless programmed otherwise.

D. The client independently determines when to use the PCA within prescribed parameters.

A. Cover the bowel with wet sterile gauze B. Assist the client into a low-Fowler's position with knees flexed C. Assist the client into a side-lying position with knees flexed D. Retrieve the crash cart from the nursing station E. Call for assistance F. Measure the client's inspiratory volume via incentive spirometer

Correct Answer is ["A","B","E"]

Explanation

A: Covering the bowel with sterile gauze moistened with saline protects the exposed tissue and prevents it from drying out.

B: A low-Fowler's position with knees flexed reduces strain on the abdomen and minimizes further protrusion.

C: A side-lying position does not relieve strain on the abdominal incision as effectively as a low-Fowler’s position.

D: Retrieving the crash cart is unnecessary unless there is evidence of impending cardiopulmonary arrest.

E: Calling for assistance is essential to notify the surgical or medical team promptly.

F: Measuring inspiratory volume is irrelevant in this scenario and delays appropriate intervention.

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A nurse is caring for a client who has provided informed consent in preparation for a procedure. The client states, "I have decided not to have the procedure." Which action should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is educating a client on patient-controlled analgesia (PCA) pump. Which statement made by the client is correct?

Correct Answer is A

Explanation

The nurse is caring for a client in the immediate post-operative period. On assessment, the nurse notes the client's bowels are protruding from the abdominal incision. Which intervention(s) by the nurse are most appropriate at this time? (Select All That Apply]

Correct Answer is ["A","B","E"]

Explanation

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A nurse is caring for a client who has provided informed consent in preparation for a procedure. The client states, "I have decided not to have the procedure." Which action should the nurse take?

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