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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Advancing one crutch and the opposite leg simultaneously: This describes the two-point gait pattern, which allows partial weight-bearing on both legs and crutches. It does not reflect the sequence used in the four-point gait.

B. Moving both crutches forward followed by moving both legs together: This sequence corresponds to the swing-to or swing-through gait patterns, not the four-point gait. It involves moving both legs together rather than alternating steps.

C. Advancing both crutches then hopping forward on the unaffected leg: This describes the three-point gait for non-weight-bearing on one leg, which requires hopping on the unaffected leg after moving both crutches, unlike the four-point gait.

D. Advancing each crutch separately followed by the opposite leg: The four-point gait involves moving one crutch, then the opposite leg, then the other crutch, followed by the remaining leg. This provides maximum stability and is suitable for clients who can bear weight on both legs but need support.

A. Hold the prescribed dose and notify the provider of the serum potassium level. B. Give the ordered KCL as prescribed. C. Omit the KCL dose and document that it was not given. D. Call the lab to verify the client's results.

Correct Answer is B

Explanation

A. Hold the prescribed dose and notify the provider of the serum potassium level: Holding the dose would be inappropriate because the client’s potassium level is low. Potassium supplementation is indicated to correct the hypokalemia and prevent complications.

B. Give the ordered KCL as prescribed: A potassium level of 3.2 mEq/L indicates mild hypokalemia. Administering the prescribed potassium chloride helps restore normal serum levels and supports cardiac and neuromuscular function, making this the appropriate action.

C. Omit the KCL dose and document that it was not given: Omitting the dose would leave the hypokalemia untreated and put the client at risk for worsening muscle weakness, cardiac arrhythmias, and potential respiratory compromise. Documentation alone does not address the clinical need.

D. Call the lab to verify the client’s results: Verification is not necessary when the value is consistent with the client’s condition and treatment plan. The result of 3.2 mEq/L clearly indicates hypokalemia, and prompt supplementation is the correct intervention.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following best describes the 4-point gait pattern?

Correct Answer is D

Explanation

A nurse is preparing to administer potassium chloride (KCL) to a client who is receiving diuretic therapy. The nurse reviews the client's serum potassium level results and discovers the client's potassium level is 3.2 mEq/L. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is caring for a client in the emergency department. Exhibits Drag the words from the choices below to fill in each blank in the following sentence For a client to give informed consent, they must be able todropdown , dropdownanddropdown.

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