Which circumstance could prevent the patient from signing his informed consent for a cholecystectomy?
The patient complains of pain radiating to the scapula.
The patient received an injection of sedating medication 1 hour ago.
The patient is concerned over his lack of insurance coverage.
The patient is 85 years of age.
The Correct Answer is B
A. Pain, even if radiating, does not impair cognitive ability or decision-making unless it is so severe that it alters mental status. This alone does not prevent the patient from signing informed consent.
B. Sedating medications, such as benzodiazepines or opioids, impair cognitive function, judgment, and decision-making capacity. Consent signed after sedation is not legally valid because the patient may not be fully aware or able to comprehend the risks, benefits, and alternatives.
C. Financial concerns may influence a patient’s decisions, but they do not legally invalidate informed consent as long as the patient remains mentally competent and unmedicated.
D. Age alone does not preclude a patient from providing informed consent. As long as the individual is mentally competent, they can legally consent regardless of age.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","E"]
Explanation
A. Clients with diabetes should not remove callouses at home due to the risk of injury and infection. This should be done by a healthcare provider.
B. Daily foot checks help detect early signs of infection or injury, which is critical in diabetic foot care.
C. Keeping the area between the toes dry helps prevent fungal infections and skin breakdown.
D. Toenails should be cut straight across to reduce the risk of ingrown toenails, which can lead to infection.
E. Moisture between the toes can promote fungal growth and skin maceration, so this area should remain dry.
Correct Answer is A
Explanation
A. This is the priority intervention to address powerlessness. Involving the client in planning promotes autonomy, empowerment, and a sense of control over their own care — which directly counters feelings of powerlessness associated with chronic, life-altering illness like ESRD.
B. While helpful for organization and adherence, this is not priority in addressing emotional or psychological issues like powerlessness. It is more of a supportive or logistical intervention.
C. This is a clinical management issue related to renal diet, not a direct intervention for powerlessness.
D. clients with ESRD typically require sodium restriction, not an increase, to manage fluid retention and hypertension.
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