During the preoperative period, what is the nurse's responsibility regarding informed consent?

Administering preoperative medications to the patient

Witnessing the patient's signature on the consent form

Explaining the surgical procedure to the patient

Monitoring the patient's vital signs during the procedure

Answer and Explanation

The Correct Answer is B

A.   Administering preoperative medications is a nursing responsibility but not directly related to informed consent.
B.   Witnessing the patient's signature is the nurse's primary responsibility regarding informed consent in the preoperative period. This verifies that the patient understands the procedure and voluntarily agrees to it.
C.   Explaining the surgical procedure is the responsibility of the surgeon or physician.
D.   Monitoring vital signs is a postoperative responsibility.

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Correct Answer is B

Explanation

A. Using the same IV catheter for a second insertion attempt is not advisable. Once an IV catheter has been inserted, it should not be reused or reinserted in the same or a different site. If the initial insertion fails or if the catheter needs to be repositioned, a new sterile catheter should be used.
B. If there is any suspicion of contamination during the insertion of an IV catheter, it is important to replace the catheter to prevent infection. This is crucial for maintaining sterility and reducing the risk of introducing pathogens into the patient’s bloodstream.
C. The IV catheter should be removed once the course of IV antibiotics or any other IV therapy is completed, unless there is a specific medical reason to keep it in place. Leaving the catheter in place unnecessarily increases the risk of infection and other complications.
D. Disconnecting the IV infusion for a client to use the restroom is not typically recommended as a standard practice. Disconnecting can introduce risks of infection and requires thorough cleaning and handling. Instead, a safer practice is to secure the IV line and allow the client to use the restroom while keeping the infusion running, or use a specialized catheter with a secure, closed system.

A. Hct 48% B. Urine specific gravity 1.040 C. Blood creatinine 0.6 mg/dL D. Blood sodium 140 mEq/L

Correct Answer is B

Explanation

A. While a slightly elevated hematocrit can be associated with dehydration, it's not as specific as urine specific gravity.
B. This indicates concentrated urine, which is a classic sign of dehydration. Normal urine specific gravity is typically between 1.005 and 1.030.
C. This is a normal creatinine level and does not indicate dehydration.
D. This is within the normal range for sodium.

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During the preoperative period, what is the nurse's responsibility regarding informed consent?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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