Nokea
A nurse has been asked to witness a patient signature on an informed consent form for surgery. What communication from the surgeon does the nurse expect the patient to receive before signing the form? Select all that apply.
- A. Option of nontreatment
- B. Underlying disease process and its natural course
- C. Notice that once the form is signed, the patient cannot withdraw the consent
- D. Explanation of the guaranteed outcome of the procedure or treatment
- E. Name and qualifications of the provider of the procedure or treatment
- F. Explanation of the risks and benefits of the procedure or treatment
Correct Answer: A,B,E,F
Rationale: The information communicated while obtaining informed consent includes the description of the procedure or treatment; potential alternative therapies; the option of nontreatment; the underlying disease process and its natural course; the name and qualifications of the health care provider performing the procedure or treatment; explanation of the risks and benefits; explanation that the patient has the right to refuse treatment; explanation that consent can be withdrawn; and explanation of expected (not guaranteed) outcome, recovery, and rehabilitation plan and course.
You may also like to solve these questions
An older adult who is scheduled for a hip replacement is taking several medications on a regular basis. Which group of medications does the nurse identify as a surgical risk for this patient?
- A. Anticoagulants
- B. Antacids
- C. Laxatives
- D. Sedatives
Correct Answer: A
Rationale: Anticoagulant medications increase the risk for hemorrhage intra- and postoperatively.
A nurse is caring for a patient who is obese and has had abdominal surgery. The nurse prioritizes a plan to prevent what postoperative complication?
- A. Anesthetic interactions
- B. Impaired wound healing
- C. Weight gain
- D. Flatulence
Correct Answer: B
Rationale: Adipose (fatty) tissue has poor blood supply, which places the obese patient at risk for delayed wound healing, wound infection, and disruption in the integrity of the wound. Medication interactions are not the primary concern and are managed by the nurse anesthetist or anesthesiologist. Postoperative bleeding and flatulence (gas) after anesthesia are concerns for all patients, not just those with obesity.
An adult patient awaiting surgery says to the nurse, 'I am so frightened-what if I don't wake up?' What is the nurse's best response?
- A. Are you worried about the anesthesia?
- B. Tell me what concerns you most.
- C. Your surgeon is great; she operated on my aunt!
- D. Many people are anxious before surgery.
Correct Answer: B
Rationale: An open-ended question that allows the patient to express concerns, fears, and feelings is therapeutic and most appropriate. The other options suggest 'yes/no' answers or suggest issues that may not be present. This type of communication does not allow the patient to clarify their thoughts.
During preoperative teaching about pain management, the patient asks the nurse to explain how a PCA pump works. What will the nurse teach the patient about PCA?
- A. It allows the patient to be completely free of pain during the postoperative period.
- B. It allows the patient to take unlimited amounts of medication as needed.
- C. It allows the patient to choose the type of medication given postoperatively.
- D. It permits the patient to self-administer limited doses of pain medication.
Correct Answer: D
Rationale: The nurse educates the patient that the PCA pump allows patients to self-administer doses of pain-relieving medication within health care provider-prescribed times and dose limits. It is not realistic to promise absence of pain or unlimited access to medication nor allow the patient to select the pain medication prescribed.
A scrub nurse is assisting a surgeon with a kidney transplant. What are the patient responsibilities of the scrub nurse? Select all that apply.
- A. Maintaining sterile technique
- B. Draping and handling instruments and supplies
- C. Identifying and assessing the patient on admission
- D. Integrating case management
- E. Preparing the skin at the surgical site
- F. Providing exposure of the operative area
Correct Answer: A,B
Rationale: The scrub nurse is a member of the sterile team who maintains sterile technique while draping and handling instruments and supplies. Two duties of the circulating nurse are to identify and assess the patient on admission to the OR and prepare the skin at the surgical site. The perioperative registered nurse actively assists the surgeon by providing exposure of the operative area. The advanced practice registered nurse coordinated nurse and integrates care activities, collaborates with physicians and nurses in all phases of perioperative and postanesthesia care, and integrates care management, critical paths, and research into care of the surgical patient.