A nurse is reinforcing teaching with a parent of a newborn about home safety precautions.

Which of the following statements by the parent indicates an understanding of the teaching?

Choice A Reason:

Explaining the procedure's purpose is incorrect. While explaining the procedure's purpose is essential, it should not be done as a sole response if the client has expressed a lack of understanding. The client's concerns and questions need to be addressed first.

Choice B Reason:

Reminding the client about the specifics of the procedure is incorrect. This choice assumes that the client is aware of the specifics but has forgotten them. If the client has already stated that they don't understand why the procedure is necessary, simply reminding them of the details may not address their concerns adequately.

Choice C is Reason:

Asking the client to sign the consent form anyway is incorrect. This option is not appropriate because it would violate the principle of informed consent. Informed consent requires that the client fully understands the procedure, its purpose, potential risks, and alternatives before signing the form. If the client doesn't understand, signing the form would not be informed consent.

Choice D Reason:

Notifying the charge nurse about the situation is correct. When a client expresses a lack of understanding or confusion about a medical procedure, it is essential to ensure that the client fully comprehends the procedure, its purpose, potential risks, and alternatives. The nurse should not proceed with obtaining informed consent if the client does not understand. Instead, the charge nurse or another healthcare provider should be notified to address the client's concerns and provide further clarification. It's crucial to prioritize the client's right to make an informed decision regarding their healthcare.

Choice A Reason:

A client who has a femur fracture and reports numbness of the toes. In the given scenario, the nurse should prioritize seeing the client with a femur fracture who reports numbness of the toes. Numbness in the toes may indicate compromised circulation or nerve damage, which can be a serious complication of a femur fracture. Addressing this issue promptly is crucial to prevent further complications.

Choice B Reason:

A client with cirrhosis and severe pruritus, while uncomfortable, does not require immediate intervention in the same way that a potential circulation issue does.

Choice C Reason:

A client who had a laparoscopic appendectomy 8 hours ago and is awaiting discharge is likely stable and not in immediate distress. The nurse can see this client after addressing the more urgent situation.

Choice D Reason:

A client who had a renal biopsy 3 hours ago and has pink-tinged urine should be monitored closely for signs of bleeding, but the issue is not as urgent as the potential nerve or circulation problem in the client with a femur fracture and numbness of the toes.