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 C

Explanation

C. This allows healthcare providers to quickly administer treatments without the need for repeated venipuncture, which can be beneficial in various medical situations where time and vein preservation are critical.
A. Peripheral intravenous saline locks are not typically used to accommodate highly irritating or hyperosmolar solutions. Saline locks are used to maintain venous access without continuous infusion, and they are generally used with isotonic solutions to prevent complications such as phlebitis or infiltration.
B. The access is not very reliable when used for drawing samples repeatedly.
D. While peripheral intravenous saline locks can be used for intermittent administration of IV antibiotics or other medications, they are not typically used for prolonged IV antibiotic administration.

A. Increased muscle tension B. Altered sleep patterns C. Increased peristalsis D. Impaired immunity

Correct Answer is D

Explanation

D. Impaired immunity is a serious complication of prolonged stress that can have significant implications for overall health and susceptibility to illness. Chronic stress has been linked to dysregulation of the immune system, leading to decreased immune function and increased susceptibility to infections, autoimmune disorders, and other illnesses. Impaired immunity can compromise the body's ability to fight off pathogens and may contribute to the development or exacerbation of various health conditions.
A. Increased muscle tension is a common physiological response to stress but it is not typically considered a serious complication. Prolonged muscle tension can lead to discomfort, headaches, and musculoskeletal issues, but it is not usually life-threatening or associated with severe complications.
B. Altered sleep patterns, such as insomnia or disrupted sleep, can be significant consequences of prolonged stress. Chronic sleep disturbances can negatively impact physical health, cognitive function, and emotional well-being. While altered sleep patterns can have serious implications for overall health and quality of life, they are not typically considered life-threatening in the short term.
C. Increased peristalsis refers to heightened movement of the gastrointestinal tract, which can result in symptoms such as diarrhea or gastrointestinal discomfort. While gastrointestinal disturbances are common manifestations of stress, they are generally not considered the most serious complication of prolonged stress. However, severe or persistent gastrointestinal symptoms may warrant medical evaluation and management.

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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

A nurse caring for a client who has a peripheral intravenous saline lock understands that its purpose is to:

Correct Answer is C

Explanation

The nurse is assessing a client who has been experiencing prolonged stress. For which most serious complication should the nurse monitor the client?

Correct Answer is D

Explanation

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