A nurse is caring for a client who is scheduled for surgery. While the nurse is witnessing the client's signature, the client states, "I trust my doctor, but I don't understand what is meant by resecting my intestines." Which of the following actions should the nurse take?
Provide brochures about the procedure.
Notify the provider.
Describe the surgery to the client.
Complete an incident report:
The Correct Answer is B
A) Provide brochures about the procedure. - While brochures can be helpful, they do not replace the need for direct, clear communication with the healthcare provider about the specific details of the surgery.
B) Notify the provider. - The client has expressed a lack of understanding about the procedure, which indicates that they may not have received sufficient information or clarification. It is important to notify the provider so they can ensure the client fully understands the procedure before giving informed consent.
C) Describe the surgery to the client. - The nurse should provide basic information and answer questions within their scope, but detailed explanations about the procedure are best provided by the provider who is performing the surgery.
D) Complete an incident report. - An incident report is not necessary in this context as the situation is related to informed consent and not an error or safety issue.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A Reason:
Applesauce -Applesauce is not a full liquid;it contains small pieces of fruit- it is more appropriate for a pureed diet.
Choice B Reason:
Oatmeal - Oatmeal is typically not included in a full liquid diet. It is a solid food, and while it can be made into a porridge by adding liquid, it does not qualify as a full liquid on its own.
Choice C Reason:
Scrambled eggs - Scrambled eggs, in their solid form, are not part of a full liquid diet. They can be blended with liquid to create a liquid egg mixture, which might be suitable for some patients with specific dietary needs, but it is not a typical full-liquid food.
Choice D Reason:
Plain yogurt - Plain yogurt is allowed on a full liquid diet as it is smooth and can be easily swallowed without chewing.
Correct Answer is C
Explanation
Choice A Reason:
The client seeking family approval may be a factor, but it may not be as effective at motivating the client to learn as their personal belief in the value of education.
Choice B Reason:
The nurse's empathy is important for building rapport and trust, but it alone may not be the primary driver of the client's motivation to learn.
Choice C Reason:
The client's belief that his needs will be met through education is correct. When a client believes that their needs will be met and that the education is relevant and valuable, they are more likely to be motivated to learn. This motivation comes from the perception that learning will lead to better outcomes and improved health. It's important for the nurse to convey the importance and relevance of the education to the client and how it will benefit their well-being.
Choice D Reason:
The nurse explaining the need for education is an important step in the teaching process, but the client's internal belief in the value of education is the factor most likely to drive their motivation to learn.
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