A patient is scheduled for a minor surgical procedure. Which of the following actions best demonstrates the nurse's role in ensuring the patient provides informal consent?
Ensuring the patient receives medication to alleviate anxiety before signing.
Witnessing the patient's signature and ensuring they understand the procedure.
Providing detailed information about the risks and benefits of the procedure.
Obtaining consent from the patient if they are unable to sign themselves.
The Correct Answer is B
A. Ensuring the patient receives medication to alleviate anxiety before signing: Administering anxiolytics may help the patient feel calmer, but it does not ensure that the patient fully understands the procedure or voluntarily consents.
B. Witnessing the patient's signature and ensuring they understand the procedure: The nurse’s role in informed consent includes verifying that the patient comprehends the procedure, risks, benefits, and alternatives, and confirming that consent is given voluntarily. Witnessing the signature ensures that legal and ethical standards are met while supporting patient autonomy.
C. Providing detailed information about the risks and benefits of the procedure: While patient education is essential, providing detailed information is primarily the responsibility of the physician or provider performing the procedure.
D. Obtaining consent from the patient if they are unable to sign themselves: If a patient cannot sign due to physical limitations, a legally authorized representative may provide consent, or the patient may give verbal consent witnessed by the nurse.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Glaucoma: Propranolol is not contraindicated in clients with glaucoma. In fact, beta-blocker eye drops such as timolol are sometimes prescribed to reduce intraocular pressure, showing that this condition does not pose a risk with propranolol therapy.
B. Depression: While propranolol can occasionally worsen depressive symptoms, depression is considered a precaution rather than a strict contraindication. The benefits of blood pressure control often outweigh this risk, provided the client is closely monitored.
C. Migraines: Propranolol is frequently prescribed as a preventive treatment for migraines due to its effectiveness in reducing frequency and severity. Therefore, a history of migraines is not a contraindication but rather a therapeutic indication.
D. Asthma: Propranolol is contraindicated in clients with asthma because its nonselective beta-blocking effect can cause bronchoconstriction. Blocking beta-2 receptors in the lungs increases the risk of bronchospasm, which can trigger life-threatening respiratory complications in asthmatic clients.
Correct Answer is C
Explanation
A. Check the expiry date of the feeding formula: While confirming the formula is within its expiration date is important to prevent infection or spoilage, it does not directly prevent the most serious risk associated with enteral feeding.
B. Flush the tube with water before and after feeding: Flushing the tube maintains patency and prevents clogging, which is important for long-term tube care but does not address immediate patient safety.
C. Ensure the feeding tube is correctly positioned before starting the feeding: Verifying correct tube placement is the most critical safety measure because improper positioning can result in aspiration, pneumonia, or feeding into the lungs, which can be life-threatening.
D. Administer the feeding at room temperature: Feeding at room temperature improves tolerance and reduces gastrointestinal discomfort, but it does not prevent severe complications like aspiration, making it secondary to verifying tube placement.
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