A nurse is teaching a client about informed consent. Which of the following information should the nurse include in the teaching?
The nurse is responsible for disclosing the expected outcomes of the proposed treatment.
Consent can be verbal or written.
Nurses rely on consent to perform interventions.
The nurse's signature indicates they witnessed the client's signature.
The Correct Answer is D
A. The nurse is responsible for disclosing the expected outcomes of the proposed treatment is incorrect. It is the provider’s responsibility to explain the procedure, risks, benefits, and alternatives, not the nurse's. The nurse's role is to reinforce the information provided by the provider.
B. Consent can be verbal or written is incorrect. While some minor procedures may involve implied or verbal consent, informed consent for major procedures, surgeries, or treatments must be written and signed by the client.
C. Nurses rely on consent to perform interventions is incorrect. While consent is important, routine nursing interventions (such as administering medications or checking vital signs) are covered under general consent given at admission. Informed consent is specifically required for invasive or high-risk procedures.
D. The nurse's signature indicates they witnessed the client's signature is correct. The nurse's role in informed consent is to witness the client signing the document and ensure they signed voluntarily, without coercion, and with full understanding of the procedure as explained by the provider.
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Related Questions
Correct Answer is A
Explanation
A. Elevating the head of the client’s bed to 30° before inserting a nasogastric (NG) tube is incorrect. The proper position for NG tube insertion is typically with the client sitting upright at 45–90° to reduce the risk of aspiration and facilitate the passage of the tube through the esophagus. This action requires intervention by the charge nurse to correct the positioning.
B. Maintaining the chest tube collection device below the level of the insertion site when ambulating the client is correct. This positioning prevents backflow of drainage into the pleural space, which could lead to complications such as pneumothorax or infection. No intervention is needed for this action.
C. Assisting the client into a fetal position on their side in preparation for a lumbar puncture is correct. This position helps to widen the spaces between the vertebrae, allowing easier access to the spinal canal for the procedure. This action does not require intervention.
D. Assessing the client’s gag reflex following an esophagogastroduodenoscopy (EGD) is correct. After an EGD, the client’s gag reflex must return before allowing oral intake to prevent aspiration. This action does not require intervention.
Correct Answer is A
Explanation
A. Reinforcing dietary teaching with a client who has heart disease: This task is within the scope of the LPN
B. Providing postmortem care for a client who has just died: Postmortem care involves emotional and physical aspects that are typically performed by registered nurses.
C. Accompanying a client who just had a wound debridement to physical therapy: This task may require assessment and coordination of care, which are typically performed by registered nurses.
D. This task can be done by a UAP
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