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 C
Explanation
Choice A rationale
HS is not approved due to potential misinterpretation as “half-strength” or “hour of sleep.”. The Joint Commission discourages its use to prevent medication errors, emphasizing clarity and standardization in prescription terminology.
Choice B rationale
QD is not an approved abbreviation due to the risk of confusion with QID (four times daily). The Joint Commission recommends writing “daily” instead to minimize errors in medication administration, which could have serious consequences.
Choice C rationale
PO is an approved abbreviation universally understood as “by mouth.”. It is clear, unambiguous, and compliant with safety standards, reducing the likelihood of misinterpretation in medical contexts.
Choice D rationale
SQ is not approved due to potential confusion with SL (sublingual) or SC (subcutaneous). The recommended term is “subcut” or “subcutaneous,” ensuring that instructions for medication administration remain precise and error-free. .
Correct Answer is C
Explanation
Choice A rationale
Running electrical cords under carpeting poses a fire hazard by trapping heat and increasing the risk of insulation damage. This practice significantly increases the likelihood of electrical fires or shocks, making it unsafe for home environments.
Choice B rationale
Setting the refrigerator temperature to 7.2°C (45°F) compromises food safety, as harmful bacteria can grow at this temperature. The recommended refrigerator temperature is ≤4.4°C (≤40°F) to prevent foodborne illnesses and maintain food quality.
Choice C rationale
Disposing of unused medications prevents accidental ingestion or misuse, especially in households with children or vulnerable individuals. Proper disposal reduces environmental contamination and aligns with safety standards for managing medical waste.
Choice D rationale
Keeping the water heater set below 60°C (140°F) minimizes the risk of scalding injuries while ensuring adequate water temperature for hygiene purposes. However, the recommended maximum water heater setting is 49°C (120°F) for optimal home safety. .
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