A nurse is obtaining informed consent for an adolescent who is scheduled for a cardiac catheterization.
The adolescent’s guardian states, “I don’t understand why they need to do this procedure.”. Which of the following actions should the nurse take?
Explain the procedure to the adolescent and their guardian.
Witness the adolescent’s signature on the informed consent form.
Request assistance from the anesthesiologist to clarify the misunderstanding.
Notify the provider who is scheduled to perform the procedure.
The Correct Answer is D
The correct answer is Choice D.
Choice A rationale
While explaining the procedure to the adolescent and their guardian is important, it is not the nurse’s primary responsibility to provide detailed explanations of the procedure. This should be done by the provider performing the procedure.
Choice B rationale
Witnessing the adolescent’s signature on the informed consent form is part of the nurse’s role, but it does not address the guardian’s lack of understanding about the procedure.
Choice C rationale
Requesting assistance from the anesthesiologist to clarify the misunderstanding is not appropriate, as the anesthesiologist may not be the best person to explain the procedure. The provider performing the procedure should be the one to provide clarification.
Choice D rationale
Notifying the provider who is scheduled to perform the procedure is the correct action. The provider is responsible for ensuring that the patient and their guardian fully understand the procedure and its risks and benefits before obtaining informed consent.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The correct answer is Choice C.
Choice A rationale
Administering vaccines prior to discharge is not recommended for a child with neutropenia because their immune system is compromised. Vaccines, especially live vaccines, can pose a risk of infection in immunocompromised individuals.
Choice B rationale
Obtaining the child’s rectal temperature once daily is not advisable for a child with neutropenia. Rectal thermometers can cause mucosal injury and increase the risk of infection in neutropenic patients.
Choice C rationale
Avoiding raw fruits and vegetables in the child’s diet is crucial for a child with neutropenia. Raw fruits and vegetables can harbor bacteria and other pathogens that can cause infections in immunocompromised individuals.
Choice D rationale
Bathing the child every other day is not sufficient for maintaining hygiene in a child with neutropenia. Daily bathing is recommended to reduce the risk of infection by removing potential pathogens from the skin.
Correct Answer is A
Explanation
The correct answer is Choice A.
Choice A rationale
Continuous swallowing can be an indication of hemorrhage following a tonsillectomy and adenoidectomy. This is because the child may be swallowing blood that is coming from the surgical site.
Choice B rationale
Blood pressure of 95/56 mm Hg is within the normal range for a 5-year-old child and does not specifically indicate hemorrhage.
Choice C rationale
A heart rate of 54/min is lower than the normal range for a 5-year-old child and may indicate bradycardia, but it is not a specific sign of hemorrhage.
Choice D rationale
Flushing of the face is not a specific sign of hemorrhage. It may indicate other conditions but is not typically associated with bleeding following a tonsillectomy and adenoidectomy.
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