A nurse is caring for a client who has uterine prolapse. The provider has recommended a total abdominal hysterectomy, but the client tells the nurse that the surgery is not an option. Which of the following is an appropriate action for the nurse to take?
Respect the client's decision and inform the provider
Explain the benefits and risks of the procedure
Suggest alternative treatments for the condition
Assess the client's understanding of the consequences of uterine prolapse and the need for surgery
The Correct Answer is D
Choice A reason: Respecting the client's decision and informing the provider is an appropriate action, but not the first one that the nurse should take. The nurse should first assess the client's understanding of the condition and the treatment options, and provide education and support as needed.
Choice B reason: Explaining the benefits and risks of the procedure is an appropriate action, but not the first one that the nurse should take. The nurse should first assess the client's understanding of the condition and the treatment options, and provide education and support as needed.
Choice C reason: Suggesting alternative treatments for the condition is an appropriate action, but not the first one that the nurse should take. The nurse should first assess the client's understanding of the condition and the treatment options, and provide education and support as needed.
Choice D reason: Assessing the client's understanding of the consequences of uterine prolapse and the need for surgery is the first and most appropriate action that the nurse should take. The nurse should determine the client's knowledge, beliefs, and preferences regarding the condition and the surgery, and address any gaps, misconceptions, or concerns. The nurse should also respect the client's autonomy and right to make informed decisions about their health care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: The client must understand the risks and benefits of the proposed treatment is not information that the nurse should include in the teaching about implied consent. This is information that the nurse should include in the teaching about informed consent, which is a type of consent that requires the client's written or verbal agreement after receiving adequate information about the treatment.
Choice B reason: The nurse's signature indicates that they witnessed the client's signature is not information that the nurse should include in the teaching about implied consent. This is information that the nurse should include in the teaching about informed consent, which is a type of consent that requires the client's written or verbal agreement after receiving adequate information about the treatment.
Choice C reason: Consent can be verbal or written is not information that the nurse should include in the teaching about implied consent. This is information that the nurse should include in the teaching about informed consent, which is a type of consent that requires the client's written or verbal agreement after receiving adequate information about the treatment.
Choice D reason: Nonverbal behavior indicates agreement is information that the nurse should include in the teaching about implied consent. This is a type of consent that does not require the client's written or verbal agreement, but is based on the client's actions or circumstances. For example, if the client holds out their arm for a blood pressure measurement, they are giving implied consent for the procedure.
Correct Answer is B
Explanation
Choice A reason: A client who reports shortness of breath and left neck and shoulder pain may have a cardiac problem, which is a serious condition. However, this client is not the highest priority, as the symptoms are not life-threatening at the moment.
Choice B reason: A client who has active bleeding from a puncture wound of the left groin area is the highest priority, as this client is at risk of hemorrhage, shock, and infection. The nurse should apply direct pressure to the wound, elevate the leg, and monitor the vital signs.
Choice C reason: A client who has a raised red skin rash on his arms, neck, and face may have an allergic reaction, which is a potential emergency. However, this client is not the highest priority, as the symptoms are not severe enough to indicate anaphylaxis.
Choice D reason: A client who reports right-sided flank pain and is diaphoretic may have a kidney stone, which is a painful condition. However, this client is not the highest priority, as the symptoms are not life-threatening unless there is an obstruction or infection.
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