A nurse is teaching a newly licensed nurse about informed consent. Which of the following information should the nurse include in the teaching?

A nurse should explain surgical risks to a client.

A client who is unable to write cannot provide informed consent.

A client can refuse a procedure after signing an informed consent form.

A client who is blind needs a guardian to provide informed consent.

Answer and Explanation

The Correct Answer is C

A. A nurse should explain surgical risks to a client. – Incorrect. The provider (physician or surgeon) is responsible for explaining surgical risks, benefits, and alternatives. The nurse only verifies that informed consent was obtained and clarifies questions.

B. A client who is unable to write cannot provide informed consent. – Incorrect. A client who cannot write may provide consent verbally or with an "X" if witnessed appropriately.

C. A client can refuse a procedure after signing an informed consent form. – Correct. Clients have the right to withdraw consent at any time before the procedure is performed.

D. A client who is blind needs a guardian to provide informed consent. – Incorrect. A blind client can provide informed consent as long as they understand the procedure. The consent form can be read aloud if needed.

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Correct Answer is A

Explanation

A. Muscle twitching – Hypocalcemia (normal range: 8.5–10.5 mg/dL) causes neuromuscular excitability, leading to muscle twitching, tetany, and positive Chvostek's and Trousseau's signs.

B. Hypertension – Hypocalcemia does not cause hypertension; instead, it may lead to hypotension.

C. Bounding pulse – Hypocalcemia does not cause a bounding pulse; it may cause weak and irregular pulses.

D. Hypoactive bowel sounds – Hypocalcemia is more likely to cause hyperactive bowel sounds and diarrhea rather than hypoactive bowel sounds.

A. Acetaminophen B. Metformin C. Atenolol D. Prednisone

Correct Answer is B

Explanation

A. Acetaminophen does not affect kidney function or contrast dye metabolism.

B. Metformin should be withheld 24-48 hours before and after contrast dye administration to reduce the risk of lactic acidosis, especially in clients with impaired renal function.

C. Atenolol, a beta-blocker, does not interfere with contrast dye.

D. Prednisone is not contraindicated in contrast studies unless the client has an allergy to the dye.

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A nurse is teaching a newly licensed nurse about informed consent. Which of the following information should the nurse include in the teaching?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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