The physician has discussed the need for surgery with a client and has obtained informed consent. The nurse determines that the client does not understand the risks and benefits of the procedure. What is the nurse's best action?

Notify the physician

Explain the procedure in simple terms

Cancel the surgery until the problem is solved

Witness the client's signature

Answer and Explanation

The Correct Answer is A

A. This is crucial because informed consent is not just about signing a document; it's about ensuring that the client fully understands the procedure, including the risks, benefits, and alternatives. The physician can then re-evaluate the client's comprehension and provide further clarification if necessary. It is the responsibility of the healthcare team to ensure that the client is making an informed decision.
B. Explaining the procedure in simple terms may be part of the nurse's role, but it is essential that the physician is aware of any gaps in the client's understanding to address them appropriately.
C. Cancelling the surgery is not the immediate best action without first attempting to resolve the misunderstanding.
D. Witnessing the client's signature may be part of the nurse's role, but it is essential that the physician is aware of any gaps in the client's understanding to address them appropriately.

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Correct Answer is ["A","C","D","E"]

Explanation

A. Documenting the type of solution provided for tube feeding is essential for accurate record-keeping and continuity of care. This includes specifying the name and composition of the enteral formula used, such as standard polymeric, high-protein, elemental, or specialized formulas for specific medical conditions or nutritional needs.
C. Documenting the client's tolerance of the tube feeding is crucial for monitoring their response to the enteral nutrition. This includes assessing for signs of intolerance, such as nausea, vomiting, abdominal pain, bloating, diarrhea, or aspiration. Documenting tolerance helps guide adjustments to the feeding regimen and ensures patient safety and comfort.
D. Documenting the amount of solution administered during the tube feeding is essential for accurately monitoring the client's intake and ensuring that nutritional goals are met. This includes recording the volume of formula administered, as well as any additional flushes or medications given through the feeding tube.
E. Documenting the duration of the tube feeding session provides important information about the timing and frequency of feedings. This includes recording the start and end times of the feeding, as well as any interruptions or adjustments made during the procedure. Documenting the duration helps ensure consistency in the feeding regimen and facilitates effective communication among healthcare providers.
B. Documenting the name of the physician who prescribed the tube is not necessary.

A. Research shows that people in general get more than enough sleep. B. Teenagers have a natural tendency to wake up earlier. C. Sleep needs remain constant over the course of a person's lifetime. D. Older adults experience a progressive decrease in deep sleep.

Correct Answer is D

Explanation

D. As individuals age, there is a natural decline in the amount of deep sleep (slow-wave sleep or Stage N3 sleep) they experience. Older adults tend to spend less time in deep sleep and may experience more fragmented sleep patterns, with more frequent awakenings during the night. This reduction in deep sleep is a normal part of the aging process and is associated with changes in sleep architecture and physiology.
A. Research indicates that a significant portion of the population does not get enough sleep, with many adults experiencing sleep deprivation due to various factors such as lifestyle, work schedules, and sleep disorders.
B. Teenagers often have a natural tendency to stay up later and have difficulty waking up early due to changes in their circadian rhythm during adolescence. This shift in sleep patterns, known as delayed sleep phase syndrome, can result in later bedtimes and waking times for teenagers.

C. Sleep needs typically change over the course of a person's lifetime. Infants and young children require more sleep than adults, with sleep duration gradually decreasing as individuals age.
Additionally, factors such as lifestyle, health status, and environmental influences can affect sleep needs at different stages of life.

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The physician has discussed the need for surgery with a client and has obtained informed consent. The nurse determines that the client does not understand the risks and benefits of the procedure. What is the nurse's best action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse has finished providing a tube feeding to a client. What should the nurse document about this procedure? (SELECT ALL THAT APPLY)

Correct Answer is ["A","C","D","E"]

Explanation

The nurse recognizes that which statement regarding sleep is true?

Correct Answer is D

Explanation

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