A nurse is caring for a client who is scheduled for surgery and has signed the informed consent form.
The client tells the nurse he has Questions about the procedure.
Which of the following actions should the nurse take?
Call the surgeon to come explain the procedure to the client.
Document the client's concerns in the medical record.
Provide written materials about the procedure to the client.
Reassure the client and proceed with the preoperative preparation.
The Correct Answer is A
Choice A rationale
Calling the surgeon to explain the procedure ensures that the client's Questions are addressed by the appropriate professional with the required expertise. This action complies with informed consent principles and prioritizes patient autonomy and understanding, essential for ethical care.
Choice B rationale
Documenting the client's concerns is important for continuity of care but does not directly address the client's need for information. Immediate action to provide clarity from the surgeon is required to ensure the client's understanding and confidence before proceeding.
Choice C rationale
Providing written materials offers supplementary information but does not replace the direct explanation needed to clarify the client's Questions. Effective communication must be verbal and tailored to address the client's specific concerns comprehensively.
Choice D rationale
Reassuring the client and proceeding with preparation overlooks their need for additional clarification. It compromises the ethical standard of informed consent, which necessitates that the client fully understands the procedure before any preparatory actions are taken.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Incorporating process changes into daily practice is vital for sustainable improvements in infection rates. However, this step follows identifying baseline infection rates and evaluating the efficacy of interventions. Implementation must be based on data-driven decisions to ensure its effectiveness.
Choice B rationale
Identifying current infection rates provides the baseline data necessary for assessing the extent of health care-associated infections. This information guides the identification of trends, prioritization of interventions, and evaluation of outcomes, forming the foundation of quality improvement initiatives.
Choice C rationale
Determining if the implemented change has lowered infection rates is an evaluation step performed after implementing interventions. While this step measures the success of changes, it is not the starting point for initiating quality improvement programs.
Choice D rationale
Selecting a potential intervention focuses on proposing solutions to reduce infection rates. However, interventions must be informed by baseline data on current rates to ensure they target the most pressing issues effectively. Selection occurs after data analysis.
Correct Answer is D
Explanation
Choice A rationale
Developing a nutritional teaching plan does not specifically address the preparation for an interprofessional meeting. While dietary adjustments can support wound healing, this task does not encompass the collaborative planning and data sharing required for the meeting. Data collection to assess the client's needs would better prepare the nurse to contribute effectively to the team's planning and decision-making.
Choice B rationale
Creating a collaborative plan of care is an essential outcome of the interprofessional team meeting, but generating this plan beforehand without consulting team members undermines the collaborative process. Interprofessional meetings aim to combine diverse expertise in developing a unified plan, making preemptive planning counterproductive in fostering effective teamwork.
Choice C rationale
Investigating home care services does not directly prepare the nurse for the interprofessional meeting, as this action addresses discharge planning rather than contributing immediate insights into the client's current rehabilitation needs. Home care services may be relevant later but are secondary to data collection pertinent to the client's present functional status and recovery.
Choice D rationale
Collecting data about the client's self-care needs provides objective information crucial for the interprofessional discussion. Understanding the level of assistance required helps the team make informed decisions about care strategies and resource allocation. This action ensures the nurse contributes relevant insights into the client's current capabilities, facilitating targeted planning for optimal recovery outcomes. .
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