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 D
Explanation
Choice A rationale:
Increasing the oxygen flow rate to 4 liters per minute may improve oxygenation temporarily, but it does not address the underlying cause of the child’s respiratory distress. Additionally, increasing oxygen flow without a provider’s order can be unsafe.
Choice B rationale:
Administering a bronchodilator as prescribed can help relieve bronchospasm and improve airflow. However, it is essential to notify the provider first to ensure that the bronchodilator is appropriate for the child’s current condition.
Choice C rationale:
Encouraging the child to drink more fluids is important for hydration, especially if the child has a fever and dry skin. However, it is not the most immediate action needed to address the child’s respiratory distress.
Choice D rationale:
Notifying the provider of the child’s condition is the correct answer. The child is showing signs of respiratory distress, including nasal flaring, cyanosis, and increased respiratory rate. Promptly informing the provider ensures that appropriate medical interventions can be initiated to stabilize the child’s condition.
Correct Answer is B
Explanation
The correct answer is Choice B.
Choice A rationale
Semi-Fowler’s position is not suitable for a lumbar puncture as it does not provide the necessary spinal flexion.
Choice B rationale
The lateral position is ideal for a lumbar puncture as it allows for proper spinal alignment and access to the lumbar region.
Choice C rationale
Supine position is not appropriate for a lumbar puncture as it does not provide the necessary spinal flexion.
Choice D rationale
Prone position is not suitable for a lumbar puncture as it does not allow for proper access to the lumbar region.
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