A nurse is providing care for a toddler who is scheduled for cardiac surgery. The parent states, "I am not sure I want my child to have this operation." Which of the following statements should the nurse make?
"Let me explain the consequences of not having this surgery."
"You have already signed the consent form for surgery."
"I will notify the provider of your concerns about this surgery."
"You have the best cardiovascular surgical team."
The Correct Answer is C
A. "Let me explain the consequences of not having this surgery.": While providing information about risks and benefits is important, this approach can come across as pressuring or judgmental. It does not validate the parent's feelings or ensure their concerns are addressed before the provider intervenes.
B. "You have already signed the consent form for surgery.": This statement can make the parent feel dismissed or coerced, undermining trust. Consent is an ongoing process, and parents have the right to reconsider or ask questions at any point before surgery.
C. "I will notify the provider of your concerns about this surgery.": Notifying the provider respects the parent's autonomy and ensures that their concerns are addressed by the appropriate healthcare professional. It supports open communication, promotes shared decision-making, and ensures informed consent is maintained.
D. "You have the best cardiovascular surgical team.": Offering reassurance about the surgical team may seem supportive, but it does not address the parent's uncertainty or provide an avenue for resolving their concerns. Emotional validation and provider involvement are more appropriate in this context.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Bowling: Bowling is a low-impact activity with minimal risk of physical contact or injury, making it an appropriate sport for a child with hemophilia. It allows participation in physical activity while reducing the likelihood of trauma and bleeding episodes.
B. Gymnastics: Gymnastics involves frequent jumping, tumbling, and risk of falls, which increase the likelihood of joint and soft tissue bleeding. These movements pose a higher injury risk for a child with hemophilia.
C. Soccer: Soccer is a contact sport with a high risk of collisions, falls, and injuries to the lower extremities. These factors significantly increase the risk of bleeding and are not recommended for children with hemophilia.
D. Basketball: Basketball involves running, jumping, and frequent physical contact with other players. The risk of falls and joint injury makes it an unsafe choice for a child with hemophilia.
Correct Answer is ["B","D"]
Explanation
A. Keep toilet lids in the upright position: Toilet lids should be kept closed and secured rather than upright. Open toilet lids increase the risk of drowning for infants who can crawl and pull themselves up but lack the ability to right themselves if they fall in.
B. Place gates at the top and bottom of the stairs: Safety gates at both the top and bottom of stairs help prevent falls, which are a major cause of injury in infants who are mobile but lack coordination. Gates should be securely mounted to withstand leaning or pushing.
C. Select a toy chest that has a heavy, hinged lid: Heavy, hinged lids pose a risk of entrapment and injury if they fall closed. Toy chests should have lightweight lids or safety hinges that prevent sudden closure to reduce injury risk.
D. Ensure the crib mattress is in the lowest position: Lowering the crib mattress reduces the risk of falls as the infant begins to pull to stand. This adjustment is important around this age to maintain a safe sleep environment.
E. Remove labels from containers that contain toxic substances: Labels provide critical information for poison identification and emergency treatment. Containers with toxic substances should remain clearly labeled and be stored securely out of reach instead of having labels removed.
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