A nurse is obtaining informed consent from a patient prior to surgery. Which of the following is necessary for informed consent to be valid?

The patient voluntarily agrees to the consent form.

Clarity of the surgical procedure consented to.

Documentation that treatment is provided.

The patient understands the surgical procedure.

Answer and Explanation

The Correct Answer is D

Choice A reason: While voluntary agreement is essential, understanding the procedure is the core of informed consent.

Choice B reason: Clarity is important, but it is not the sole requirement; the patient's understanding is crucial.

Choice C reason: Documentation is part of the process, but it does not replace the need for the patient's understanding.

Choice D reason: For informed consent to be valid, the patient must understand the nature and risks of the surgical procedure, which is the most critical aspect.

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Correct Answer is A

Explanation

Choice A reason: Poor nutritional status can impair wound healing and increase the risk of wound dehiscence.

Choice B reason: Medication administration is too vague to determine a risk for dehiscence without specifying the type of medication.

Choice C reason: Obesity can increase the risk of dehiscence due to the strain on the wound from excess tissue.

Choice D reason: Nonadherence could contribute to dehiscence if it refers to not following postoperative care instructions, but it is not specific enough in this context.

Choice E reason: An increased metabolic rate can lead to higher demands on the body's healing process, potentially aﬀecting wound integrity.

A. Administer sodium bicarbonate to the patient. B. Provide a paper bag for the patient to breathe into. C. Monitor the patient's head being between their knees. D. Administer acetazolamide to the patient.

Correct Answer is B

Explanation

Choice A reason: Administering sodium bicarbonate is not indicated for respiratory alkalosis as it is an alkalinizing agent and could worsen the condition.

Choice B reason: Breathing into a paper bag can help to rebreathe CO2, which can help correct the pH in cases of hyperventilation-induced respiratory alkalosis.

Choice C reason: Having the patient's head between their knees is not a standard intervention for respiratory alkalosis and could be uncomfortable or unsafe for the patient.

Choice D reason: Acetazolamide is a diuretic that can cause metabolic acidosis to compensate for respiratory alkalosis, but it is not typically used for acute management of hyperventilation.

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A nurse is obtaining informed consent from a patient prior to surgery. Which of the following is necessary for informed consent to be valid?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a patient who has a surgical wound. Which of the following factors places the patient at risk for dehiscence? Select all that apply.

Correct Answer is A

Explanation

A nurse is caring for a patient who has respiratory alkalosis and hyperventilating. Which of the following interventions should the nurse implement?

Correct Answer is B

Explanation

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.

A nurse reviewing the medical record of a patient who has metabolic acidosis should realize that which of the following findings contributes to the development of metabolic acidosis?

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?

A nurse is caring for a patient who is to undergo a total knee arthroplasty. Which of the following actions should the nurse take when participating in the informed consent process?

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A nurse is caring for a patient during the immediate postoperative period following major abdominal surgery. When administering an opioid analgesic for pain, the nurse should explain that the medication may have which of the following eﬀects?

A nurse is collecting data from four clients who have wounds. The nurse should recognize that which of the following clients has manifested a wound infection?