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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A Reason:
"This test will provide information about the function of your liver." The ALT test specifically assesses liver function by measuring the levels of alanine aminotransferase, an enzyme found in the liver. Elevated ALT levels can indicate liver damage or disease.
Choice B Reason:
Checking how the kidneys are working is typically assessed using tests such as creatinine and blood urea nitrogen (BUN) levels.
Choice C Reason:
Determining how the heart is performing is usually assessed through tests like electrocardiograms (ECG or EKG) and cardiac enzyme tests, not ALT.
Choice D Reason:
Indicating the risk for developing blood clots is usually assessed using tests like prothrombin time (PT) and international normalized ratio (INR) to evaluate blood clotting factors.
Correct Answer is B
Explanation
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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