A nurse is preparing a client for TURP surgery and ensuring informed consent. What is the nurse's primary responsibility related to informed consent?
Educating the client about postoperative care instructions.
Witnessing the client's signature on the consent form.
Explaining the surgical procedure in detail to the client.
Ensuring the client is medically fit for the surgery.
The Correct Answer is B
A. Educating the client about postoperative care instructions is essential, but it is not the primary responsibility related to informed consent.
B. This is the correct answer. The nurse's primary responsibility is to ensure that the client is adequately informed about the risks, benefits, and alternatives to the surgery and that they provide voluntary and informed consent. The nurse witnesses the client's signature on the consent form to verify that the client understands and agrees to the procedure.
C. Explaining the surgical procedure is part of the informed consent process, but witnessing the client's signature is the primary responsibility related to informed consent.
D. Ensuring the client is medically fit for the surgery is crucial, but it is not the primary responsibility related to informed consent.
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Related Questions
Correct Answer is B
Explanation
A. While encouraging fluid intake is important, severe pain during urination and inability to void after TURP surgery require further evaluation and intervention by the healthcare provider.
B. This is the correct answer. Severe pain and inability to void after TURP surgery may indicate a complication or urinary retention that requires immediate attention from the healthcare provider.
C. Documenting the client's complaints is essential, but the nurse should not delay notifying the healthcare provider about the client's symptoms.
D. Instructing the client to perform Kegel exercises is not the priority when the client is experiencing severe pain and inability to void after TURP surgery. The client's symptoms require prompt evaluation and intervention.
Correct Answer is D
Explanation
A. Maintaining strict fluid restrictions may not be necessary during TURP surgery and can lead to dehydration.
B. Preventing dehydration is essential, but the primary reason for fluid intake and output monitoring is to detect potential complications related to fluid overload or imbalance.
C. While proper irrigation of the surgical site is essential, fluid intake and output monitoring serve a broader purpose of assessing overall fluid balance and preventing complications.
D. This is the correct answer. Monitoring fluid intake and output during TURP surgery allows the nurse to assess for signs of fluid overload or imbalance, which can occur due to irrigation fluids and potential bleeding.
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