A nurse is obtaining informed consent from a patient who is scheduled for a total hip arthroplasty. Which of the following statements should the nurse include?

"Once you sign the consent form, you cannot refuse treatment."

"The charge nurse will review the risks of the procedure."

"Your partner will need to witness you sign the consent form."

"Your provider will discuss other treatment options."

Answer and Explanation

The Correct Answer is D

Choice A reason: This statement is incorrect; patients have the right to refuse treatment at any time, even after signing the consent form.

Choice B reason: While the charge nurse may review the risks, it is typically the responsibility of the provider performing the procedure to ensure the patient understands the risks involved.

Choice C reason: A witness may be required to sign the consent form, but it does not necessarily have to be the patient's partner.

Choice D reason: It is important for the provider to discuss all treatment options with the patient, so they can make an informed decision.

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Correct Answer is A

Explanation

Choice A reason: Elevating the patient in a high Fowler's position can help improve lung expansion and oxygenation, and using an incentive spirometer along with coughing can help prevent atelectasis and pneumonia, which are common postoperative complications.

Choice B reason: Increasing oxygen to 70% without a specific indication could lead to oxygen toxicity, especially without assessing the patient's current oxygenation status.

Choice C reason: Switching to a rebreather mask is not indicated based on the given ABG results and could lead to CO2 retention.

Choice D reason: Positioning the patient prone and performing postural drainage are not typically first-line interventions for a patient one day post-thoracotomy and could be contraindicated due to the recent surgery.

A. "Perform deep breathing every 2 hours around the clock." B. "Make sure chest and shoulders move when breathing." C. "Take a deep breath before each atempt to cough." D. "Sit up straight before beginning coughing exercises." E. Use a pillow to support the area when coughing

Correct Answer is ["A","C","D","E"]

Explanation

Choice A reason: Performing deep breathing exercises every 2 hours helps prevent postoperative complications such as pneumonia and atelectasis.

Choice B reason: While chest movement is part of breathing, the instruction is incomplete and should emphasize diaphragmatic breathing rather than shoulder movement.

Choice C reason: Taking a deep breath before coughing helps to increase the eﬀectiveness of the cough, which can clear secretions from the lungs.

Choice D reason: Sitting up straight before beginning coughing exercises helps to ensure maximum lung expansion and eﬀectiveness of the cough.

Choice E reason: Using a pillow to support the surgical area when coughing can help reduce pain and protect the incision site, making the cough more eﬀective.

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A nurse is obtaining informed consent from a patient who is scheduled for a total hip arthroplasty. Which of the following statements should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient is one day postoperative following an open thoracotomy. The patient is receiving oxygen mist at 40% by Venturi mask. The patient's ABG results are: pH 7.31, PaO2 93 mm Hg, PaCO2 50 mm Hg, HCO3 25 mEq/L. Which of the following is an appropriate action for the nurse?

Correct Answer is A

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.

Correct Answer is ["A","C","D","E"]

Explanation

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