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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A rationale

Postmortem care includes preparing the body for transport and respecting cultural practices, which falls within the scope of an assistive personnel’s training. It ensures dignity for the deceased and follows standard protocols, such as cleaning and positioning the body. This task does not require clinical judgment or advanced decision-making, making it suitable for delegation.

Choice B rationale

Reinforcing discharge instructions requires critical thinking and knowledge about postoperative care. This involves assessing the client’s understanding and providing tailored education, which exceeds the scope of an assistive personnel’s responsibilities. Registered nurses are more qualified for this task due to their clinical expertise.

Choice C rationale

Interpreting deviations in vital signs requires comprehensive knowledge of pathophysiology and the ability to correlate symptoms with potential medical conditions. Such tasks necessitate clinical judgment and decision-making, which are exclusive to licensed healthcare professionals, not assistive personnel.

Choice D rationale

Inserting a nasogastric (NG) tube is a technical procedure that demands sterile technique, anatomical knowledge, and the ability to recognize complications. It requires licensure and specialized training, making it unsuitable for delegation to an assistive personnel, as it could jeopardize client safety.

A. Autonomy. B. Fidelity. C. Justice. D. Beneficence.

Correct Answer is A

Explanation

Choice A rationale

Autonomy supports the client’s decision-making capacity, allowing them to determine their care preferences, including discontinuing enteral feedings. Respecting autonomy aligns with ethical nursing practice, prioritizing the client’s informed choices and independence.

Choice B rationale

Fidelity relates to maintaining commitments and professional promises but does not directly address respecting client decisions regarding care. While trust is essential, autonomy is more applicable in this context.

Choice C rationale

Justice emphasizes fairness and equal treatment, which is vital in resource distribution and ethical practice. However, it does not directly pertain to honoring a client’s individual decisions.

Choice D rationale

Beneficence involves promoting the client’s well-being, which might conflict with their decision to discontinue treatment. Supporting autonomy takes precedence when clients make informed choices. .

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for four clients and is delegating tasks to an assistive personnel (AP). Which of the following tasks should the nurse plan to have the AP perform?

Correct Answer is A

Explanation

A nurse is caring for a client who has a terminal illness and states that they wish to discontinue their enteral feedings.The nurse responds by saying, "You have a right to refuse treatment.”. This response demonstrates which of the following ethical principles?

Correct Answer is A

Explanation

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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?