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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Metabolic alkalosis is characterized by a high pH and a high HCO3 level, which is not present in this scenario.
Choice B reason: Respiratory acidosis is characterized by a high PaCO2 and a low pH. Although the pH is low here, the PaCO2 is also low, ruling out respiratory acidosis.
Choice C reason: Metabolic acidosis is indicated by a low pH and a low HCO3 level, which aligns with the patient's ABG results.
Choice D reason: Respiratory alkalosis would present with a high pH and a low PaCO2, which is not the case here.
Correct Answer is B
Explanation
Choice A reason: While bed rest may be required immediately after surgery, patients are typically encouraged to mobilize as soon as possible to prevent complications.
Choice B reason: Using a special soap the evening before surgery is a common preoperative instruction to reduce the risk of infection.
Choice C reason: A CPM machine is often used after hip replacement surgery to promote movement and prevent joint stiffness.
Choice D reason: A heating pad is generally not recommended on the operative site immediately after surgery due to the risk of burns and bleeding.
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The correct answer is choice B. “You will use a special soap to shower with the evening before your surgery.” Choice A rationale: Remaining in bed for at least the first 24 hours is not typically recommended. Early mobilization is encouraged to prevent complications such as blood clots and to promote faster recovery. Choice B rationale: Using a special soap to shower with the evening before surgery is a common preoperative instruction. This helps reduce the risk of infection by decreasing the number of bacteria on the skin. Choice C rationale: Continuous passive motion (CPM) machines are generally used for knee replacement surgeries, not hip replacements. They help in maintaining joint mobility and preventing stiffness, but are not standard for hip surgeries. Choice D rationale: Using a heating pad on the operative site is not recommended as it can increase swelling and the risk of burns. Cold therapy is usually preferred to reduce pain and inflammation postoperatively. |
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