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.

Answer and Explanation

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

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Correct Answer is B

Explanation

A. "Rub your hands together for at least 10 seconds when washing them.": While handwashing is important for preventing infections, the recommendation for effective handwashing is to rub hands together for at least 20 seconds, not 10. Emphasizing proper handwashing techniques is essential for promoting workplace health.

B. "Keep your abdominal muscles tightened when lifting objects.": This is proper body mechanics to prevent back injuries in a warehouse setting. Workers should also bend at the knees, keep objects close to the body, and avoid twisting.

C. "Ensure that 20% or less of calories are from saturated fats.": The dietary guideline is that saturated fat should be <10% of daily calories, not 20%.

D. "Engage in aerobic exercise 2 to 4 days per week for 20 minutes.": While regular exercise is beneficial, the recommendation for aerobic exercise typically suggests at least 150 minutes of moderate-intensity exercise each week, which translates to about 30 minutes on most days. This statement underrepresents the amount of physical activity needed for optimal health.

A. Report of back pain associated with twisting at the waist B. Absence of a dental health provider C. Lives in a home with 25 other agricultural workers D. Report of muscle twitching and skin rash

Correct Answer is D

Explanation

A. Report of back pain associated with twisting at the waist. Back pain is a common musculoskeletal issue among agricultural workers due to repetitive movements and heavy lifting. While it requires intervention, it is not immediately life-threatening and does not take priority over acute symptoms that may indicate poisoning or a severe reaction.

B. Absence of a dental health provider. Lack of dental care can contribute to long-term health complications, but it does not pose an immediate risk requiring urgent intervention. Addressing acute medical conditions takes precedence over routine preventive care.

C. Lives in a home with 25 other agricultural workers. Overcrowded living conditions can increase the risk of communicable diseases and poor hygiene-related health issues. However, it is a social determinant of health rather than an urgent clinical concern that requires immediate action.

D. Report of muscle twitching and skin rash. Muscle twitching and skin rash can indicate pesticide poisoning, a common occupational hazard for agricultural workers. Pesticide exposure can lead to serious neurological and systemic effects, making this the priority for immediate assessment and intervention.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An occupational health nurse is preparing to teach a health promotion class for workers at a warehouse. Which of the following statements should the nurse include?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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