A nurse is preparing to witness a client who is scheduled for a bilateral mastectomy sign the informed consent form. The client states, "I am glad they are not taking both breasts." Which of the following actions should the nurse take?

Check with the surgery department that the procedure is correct.

Notify the provider after the client signs the form.

Explain to the client that both breasts are to be removed.

Ask the provider to clarify the procedure with the client before she signs the form.

Answer and Explanation

The Correct Answer is D

A. Check with the surgery department that the procedure is correct. While important, it does not address the client's misunderstanding.
B. Notify the provider after the client signs the form. The client should not sign the form until they understand the procedure.
C. Explain to the client that both breasts are to be removed. The nurse should not provide surgical explanations beyond their scope.
D. Ask the provider to clarify the procedure with the client before she signs the form. The provider must ensure the client understands the procedure before consent is signed.

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Correct Answer is D

Explanation

A. Tingling in the toes: Tingling in the toes is not specific to CRPS. It might be a general symptom but is not a classic sign of CRPS.
B. 1+ dorsalis pedis pulse: A weak pulse might indicate reduced circulation but is not specific to CRPS. CRPS is more associated with pain, swelling, and changes in skin color or temperature.
C. Capillary refill of 3 seconds: A capillary refill time of 3 seconds is prolonged and suggests possible circulation issues, but it is not a specific manifestation of CRPS.
D. Increased edema of the foot: Increased edema of the foot is a common manifestation of CRPS. CRPS often presents with localized swelling, along with other symptoms like pain and changes in skin color or temperature.

A. Abdominal distention B. Rhinitis C. Echolalia D. Drooling

Correct Answer is D

Explanation

A. Abdominal distention: Abdominal distention is not a typical manifestation of dysphagia.
B. Rhinitis. Rhinitis is inflammation of the nasal mucous membrane and is not related to dysphagia.
C. Echolalia: Echolalia is the repetition of another's spoken words and is not a symptom of dysphagia.
D. Drooling: This is correct. Drooling is a common manifestation of dysphagia due to difficulty in swallowing saliva

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A nurse is preparing to witness a client who is scheduled for a bilateral mastectomy sign the informed consent form. The client states, "I am glad they are not taking both breasts." Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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