After signing an informed consent form, a client states, "I have changed my mind and do not want to have the procedure." Which of the following actions should the nurse take?
Suggest that family members discuss the importance of the surgery with the client.
Notify the surgeon that the client wishes to withdraw informed consent for the procedure.
Document the risks of refusing the procedure in the client's medical record.
Discuss the benefits of the procedure with the client.
The Correct Answer is B
A. Suggest that family members discuss the importance of the surgery with the client: While family support can be valuable, the decision ultimately lies with the client. It is essential for the client to feel empowered in their choices without feeling pressured by family members.
B. Notify the surgeon that the client wishes to withdraw informed consent for the procedure: The most appropriate action is to inform the surgeon of the client's decision to withdraw consent. It is the client's right to change their mind about the procedure at any time before it occurs, and the healthcare team must respect and facilitate that decision.
C. Document the risks of refusing the procedure in the client's medical record: While documenting the client's decision is important, focusing solely on the risks of refusal may not be appropriate at this time. The primary concern should be to ensure that the client's wishes are communicated to the healthcare provider.
D. Discuss the benefits of the procedure with the client: Emphasizing the benefits of the procedure may unintentionally pressure the client. It is more important to respect the client's autonomy and decision-making, ensuring they are comfortable with their choice without feeling coerced into changing their mind.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "The client has a new prescription for incentive spirometry.": This statement is more appropriate for the "Assessment" or "Recommendation" section, as it pertains to current treatment plans and interventions rather than the background context of the client's history.
B. "The client's partner plans to return later today.": This information is relevant to the client's social support and engagement but is not critical background information. It may be included in the "Situation" or "Recommendation" sections instead.
C. "The client has no living family members.": This statement is pertinent to the "Background" portion, as it provides important context regarding the client's social situation and support system. Understanding the client's background helps the receiving nurse assess potential psychosocial needs and planning for care.
D. "I initiated a consultation by a nutritionist.": This action relates to ongoing care and assessment of the client's nutritional needs, making it more appropriate for the "Assessment" or "Recommendation" section. It is not part of the historical background needed for effective handoff.
Correct Answer is B
Explanation
A. Avoid exposure to deer ticks: West Nile virus is transmitted through mosquito bites, not deer ticks. Avoiding ticks is important for preventing Lyme disease and other tick-borne illnesses, but it does not reduce the risk of West Nile virus.
B. Eliminate areas of standing water: Mosquitoes breed in stagnant water, increasing the risk of West Nile virus transmission. Removing standing water from containers, birdbaths, and gutters reduces mosquito populations and helps prevent the spread of the virus in rural and urban areas.
C. Use a respiratory mask when cleaning bird coops: This is a preventive measure for diseases such as histoplasmosis, which is caused by inhaling fungal spores from bird droppings. It does not protect against West Nile virus, which is spread through mosquito bites rather than airborne transmission.
D. Plan outdoor activities after dusk: Mosquitoes that carry West Nile virus are most active at dawn and dusk. Engaging in outdoor activities during these times increases the risk of being bitten. Instead, individuals should limit outdoor exposure or use protective measures such as insect repellent and long clothing during peak mosquito activity.
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