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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Hyperventilation is a compensatory mechanism in metabolic acidosis where the body tries to decrease carbon dioxide levels to balance the acidity.
Choice B reason: Cold, clammy skin is not a typical manifestation of metabolic acidosis; it may be associated with shock or hypoglycemia.
Choice C reason: Increased blood pressure is not directly related to metabolic acidosis. It can be influenced by various factors, including stress or other underlying conditions.
Choice D reason: Bradycardia, or a slow heart rate, is not a common manifestation of metabolic acidosis. Tachycardia, or a fast heart rate, might be observed instead.
Correct Answer is B
Explanation
Choice A reason: Discussing pain management is important for patient comfort but does not directly prevent postoperative complications.
Choice B reason: Sequential compression devices are used to prevent deep vein thrombosis, a common postoperative complication, making this the correct answer.
Choice C reason: Reviewing policy with the client and family is part of the overall care but is not specific to preventing postoperative complications.
Choice D reason: Ensuring the operative site has been secured is a procedural task and does not directly prevent postoperative complications.
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