A nurse is preparing to witness informed consent for a client who is preoperative. The client asks the nurse, "Are there other options besides surgery?" Which of the following responses should the nurse make?

"It is time to sign the consent so your treatment can begin."

"Have you discussed other treatments with your provider?"

"I can inform the surgeon you do not want the surgery."

"I would not have this type of surgery if I were you."

Answer and Explanation

The Correct Answer is B

Rationale:

A. "It is time to sign the consent so your treatment can begin." dismisses the client's valid question about alternative options and does not address their concern.

B. "Have you discussed other treatments with your provider?" is an appropriate response as it encourages the client to seek information about alternatives from their healthcare provider, who can offer comprehensive options and explanations.

C. "I can inform the surgeon you do not want the surgery." does not address the client's question about alternatives and assumes the client’s decision without further discussion.

D. "I would not have this type of surgery if I were you." is a personal opinion and is not appropriate for a nurse to provide, as it is not based on the client’s individual medical needs or informed consent principles.

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Correct Answer is D

Explanation

Rationale:

A. HICS focuses on organizing and managing internal facility operations rather than mobilizing external multidisciplinary responders.

B. HICS does not directly ensure the availability of specific medical supplies; this is usually managed through other systems or protocols.

C. HICS is primarily concerned with internal facility management, not providing additional responders from outside agencies.

D. HICS helps to define roles, responsibilities, and reporting channels within the facility during a disaster, ensuring effective internal management.

A. A client who is 3 days postoperative following a craniotomy B. A client who is 3 days postoperative following gastric bypass surgery C. A client who is 2 hr postoperative following an abdominal hysterectomy D. A client who is 1 hr postoperative following a thyroidectomy

Correct Answer is B

Explanation

Rationale:

A. A client who is 3 days postoperative following a craniotomy requires careful monitoring due to potential complications from brain surgery, so vital signs should be taken by a nurse.

B. A client who is 3 days postoperative following gastric bypass surgery is stable enough for an AP to obtain vital signs, as the risk of immediate postoperative complications is lower compared to more recent surgeries.

C. A client who is 2 hr postoperative following an abdominal hysterectomy requires close monitoring due to the recent surgery, so vital signs should be obtained by a nurse.

D. A client who is 1 hr postoperative following a thyroidectomy requires vigilant monitoring for potential complications from recent surgery, which should be done by a nurse.

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A nurse is preparing to witness informed consent for a client who is preoperative. The client asks the nurse, "Are there other options besides surgery?" Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse is discussing disaster response with nursing staff. Which of the following statements indicates an understanding of the Hospital Incident Command System (HICS)?

Correct Answer is D

Explanation

A nurse is caring for four postoperative clients. The nurse can delegate obtaining vital signs to an assistive personnel (AP) for which of the following clients?

Correct Answer is B

Explanation

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