A nurse is caring for a client who is about to undergo an elective surgical procedure. The nurse should take which of the following actions regarding informed consent?
(Select All that Apply.)

Explain the risks and benefits of the procedure.

Tell the client about alternatives to having the surgery.

Make sure the surgeon obtained the client's consent

Describe the consequences of choosing not to have the surgery.

Witness the client's signature on the consent form.

Answer and Explanation

Correct Answer : C,E

A.   Explaining the risks and benefits of the procedure is generally the responsibility of the surgeon or the healthcare provider who will perform the procedure. They are in the best position to provide detailed and specific information about the procedure, including potential complications and benefits.
B.   Similar to explaining the risks and benefits, discussing alternatives is usually done by the surgeon or the provider. The nurse should ensure that the client is aware that alternatives are available and that this information has been provided by the appropriate medical professional.
C.   It is the responsibility of the surgeon or the healthcare provider to obtain informed consent. However, the nurse should confirm that the consent process has been completed. This means ensuring that the consent form is signed and that the client has been properly informed. While the nurse does not obtain consent, they verify that it has been done correctly.
D.   Describing the consequences of not undergoing the surgery is part of the informed consent process and is generally the responsibility of the surgeon. The nurse should ensure that this information has been communicated to the client by the appropriate provider.
E.   The nurse often acts as a witness to the client’s signature on the consent form. This involves confirming that the client has signed the form voluntarily and after being fully informed. The nurse’s role in this process is to ensure the proper documentation and verification that the consent has been given.

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Correct Answer is C

Explanation

A. The correct actions to take include staying with the client for the first 15-30 minutes after starting the transfusion, not just the first 10 minutes, to monitor for any adverse reactions.
B. It is also crucial to use 0.9% sodium chloride solution, not 5% dextrose in water, to flush the transfusion tubing.
C. It is a standard practice to have two nurses check the blood unit label to verify the correct blood type and compatibility before administration.
D. The transfusion should not be rushed over 1 hour; instead, it should be administered over a period of 2-4 hours, depending on the patient's condition and the volume of PRBCs to be transfused.

A. "I will perform deep breathing exercises only when the pain is minimal." B. "I will perform deep breathing exercises every hour while awake." C. “I will perform coughing exercises only if I feel short of breath." D. "I will avoid deep breathing exercises to prevent straining my incision."

Correct Answer is B

Explanation

A. Deep breathing exercises should be performed regularly, regardless of the level of pain. The exercises are crucial for preventing lung complications, and pain management should be addressed so that the client can perform these exercises effectively.
B. This statement reflects a proper understanding of the importance of regular deep breathing exercises. Performing these exercises every hour while awake helps to keep the alveoli open and reduces the risk of atelectasis and pneumonia. Consistent practice is essential for maximizing lung expansion and preventing complications.
C. Coughing exercises should be performed regularly, not just when experiencing shortness of breath. Coughing helps to clear secretions from the airways and prevent their accumulation, which can lead to respiratory infections and other complications.
D. Avoiding deep breathing exercises is not advisable. While there may be some discomfort, deep breathing is essential for lung health post-operatively. The exercises help prevent complications such as atelectasis.

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A nurse is caring for a client who is about to undergo an elective surgical procedure. The nurse should take which of the following actions regarding informed consent? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning to administer a unit of PRBCS for a client. Which of the following actions should the nurse plan to take?

Correct Answer is C

Explanation

The nurse emphasizes the importance of deep breathing and coughing exercises post-operatively to prevent complications. Which statement by the client indicates understanding of these exercises?

Correct Answer is B

Explanation

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A nurse is caring for a client who is about to undergo an elective surgical procedure. The nurse should take which of the following actions regarding informed consent?
(Select All that Apply.)