A nurse is caring for a patient who is to undergo a total knee arthroplasty. Which of the following actions should the nurse take when participating in the informed consent process?
Verify that the patient is giving consent voluntarily.
Explain the amount of pain the patient will have following the procedure.
Tell the patient the names of other health care providers who will participate in the surgery.
Inform the patient of the possible outcomes if they do not receive the treatment.
The Correct Answer is A
Choice A reason: It is essential to ensure that the patient's consent is given freely without coercion. This is a fundamental ethical principle in healthcare.
Choice B reason: While it is important to discuss postoperative expectations with the patient, explaining the amount of pain is not part of the informed consent process but rather part of preoperative education.
Choice C reason: Providing the names of the healthcare team members is not a required element of informed consent, although it may be part of the broader communication with the patient.
Choice D reason: Discussing the consequences of not undergoing the procedure can be part of the informed consent process, but the primary action is to confirm voluntary consent.
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Related Questions
Correct Answer is B
Explanation
Choice A reason: The patient's son may be present for support, but he does not have the authority to sign the consent form unless he is a designated health care proxy and the patient is not competent.
Choice B reason: Since the patient is alert and competent, she has the right and responsibility to provide consent for her own medical procedures.
Choice C reason: A health care proxy is authorized to make decisions on behalf of the patient only if the patient is unable to do so.
Choice D reason: The consent form should be signed by the patient alone if she is competent, regardless of who accompanies her to the facility.
Correct Answer is C
Explanation
Choice A reason: Cisapride is a prokinetic agent that increases gastrointestinal motility and is unlikely to cause constipation.
Choice B reason: Magnesium-containing antacids typically cause diarrhea rather than constipation.
Choice C reason: Opioid analgesics are known to slow gastrointestinal motility, which can lead to constipation, making this the correct answer.
Choice D reason: Statins are used to lower cholesterol and are not commonly associated with causing constipation.
Choice E reason: Anticholinergic/antispasmodic medications can cause constipation due to their action on the nervous system, which reduces muscle contractions in the gastrointestinal tract.
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