A nurse is caring for an older adult who is alert and competent and comes to the facility with her adult son for elective cataract extraction. After the provider explains the procedure, who should the nurse have sign the consent form?

The patient's son

The patient

The patient's health care proxy

The patient and her son

Answer and Explanation

The Correct Answer is B

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.

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Correct Answer is ["A","C","D","E"]

Explanation

Choice A reason: Performing deep breathing exercises every 2 hours helps prevent postoperative complications such as pneumonia and atelectasis.

Choice B reason: While chest movement is part of breathing, the instruction is incomplete and should emphasize diaphragmatic breathing rather than shoulder movement.

Choice C reason: Taking a deep breath before coughing helps to increase the eﬀectiveness of the cough, which can clear secretions from the lungs.

Choice D reason: Sitting up straight before beginning coughing exercises helps to ensure maximum lung expansion and eﬀectiveness of the cough.

Choice E reason: Using a pillow to support the surgical area when coughing can help reduce pain and protect the incision site, making the cough more eﬀective.

A. Obstructive sleep apnea B. Glucose level 75 mg/dL C. BMI 24 D. Increased anxiety

Correct Answer is A

Explanation

Choice A reason: Obstructive sleep apnea can increase the risk of postoperative complications due to potential breathing problems and the eﬀects of anesthesia.

Choice B reason: A glucose level of 75 mg/dL is within the normal fasting range (70-99 mg/dL) and does not typically place a patient at increased risk for postoperative complications.

Choice C reason: A BMI of 24 falls within the normal weight range (18.5-24.9) and is not considered a risk factor for postoperative complications.

Choice D reason: While increased anxiety can aﬀect a patient's experience, it is not a direct risk factor for postoperative complications like obstructive sleep apnea is.

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A nurse is caring for an older adult who is alert and competent and comes to the facility with her adult son for elective cataract extraction. After the provider explains the procedure, who should the nurse have sign the consent form?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing preoperative teaching about breathing exercises to a patient. Which of the following instructions should the nurse include? Select all that apply.

Correct Answer is ["A","C","D","E"]

Explanation

A nurse is reviewing the medical history of a patient who is preoperative for surgery. Which of the following findings places the patient at risk for a postoperative complication?

Correct Answer is A

Explanation

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A nurse is caring for an older adult who is alert and competent and comes to the facility with her adult son for elective cataract extraction. After the provider explains the procedure, who should the nurse have sign the consent form?

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