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 C

Explanation

A. pH 7.35, PaCO2 40 mm Hg, HCO3-25 mEq/L: This is within normal ranges and does not indicate acidosis.
B. pH 7.32, PaCO2 47 mm Hg. HCO3-23 mEq/L: This indicates respiratory acidosis, not metabolic.
C. pH 7.3, PaCO2 36 mm Hg. HCO3- 19 mEq/L: This indicates metabolic acidosis. The pH is low (acidic), and the HCO3- (bicarbonate) is decreased. The PaCO2 is within normal limits, indicating the respiratory system is compensating for the metabolic acidosis.
D. pH 7.5, PaCO2 35 mm Hg, HCO3- 35 mEq/L: This indicates alkalosis, not acidosis.

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

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