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?
Request assistance from the anesthesiologist to clarify the misunderstanding.
Explain the procedure to the adolescent and their guardian.
Witness the adolescent's signature on the informed consent form.
Notify the provider who is scheduled to perform the procedure.
The Correct Answer is D
A. Requesting assistance from the anesthesiologist may not be appropriate as they may not be as familiar with the specifics of the procedure as the provider performing it.
B. Explaining the procedure is not the nurse's role.
C. Witnessing the signature is a procedural task that does not address the guardian's need for understanding the necessity of the procedure.
D. Notifying the provider is the most appropriate action because they can provide a detailed explanation and answer specific questions the guardian may have, ensuring informed consent is truly informed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","E"]
Explanation
A. Children with cystic fibrosis often have pancreatic insufficiency, leading to malabsorption of fats and fat-soluble vitamins. Pancreatic lipase supplements are necessary to aid in the digestion of fats.
B. Acetaminophen is an analgesic and antipyretic that has no effect on the underlying cause of cystic fibrosis.
C. Deficient levels of vitamins A, D, E, and K indicate malabsorption, necessitating supplementation with water-soluble vitamins to address nutritional deficiencies.
D. Meperidine is an opioid analgesic that can cause respiratory depression and increase the risk of pulmonary complications.
E. Dornase alfa (Pulmozyme) is a recombinant human deoxyribonuclease enzyme used in the management of cystic fibrosis to improve pulmonary function by reducing the viscosity of mucus in the airways.
Correct Answer is A
Explanation
A) Tachypnea is a sign of respiratory distress and may indicate hypoxia, dehydration, or increased work of breathing. The nurse should report this finding to the provider and monitor the infant's oxygen saturation, heart rate, and respiratory rate.
B) Coughing is a common symptom of RSV and may not require immediate reporting unless severe.
C) Rhinorrhea (runny nose) is a common symptom of RSV and may not require immediate reporting unless severe.
D) Pharyngitis (sore throat) is a common symptom of RSV but is not as urgent as tachypnea.
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