A nurse is preparing a client who speaks limited
English for surgery. Which of the following is the most
appropriate nursing action in obtaining informed
consent from this client?
Select one:
a. Do nothing as this is the provider's primary
concern.
b. The nurse should explain the procedures using
pictures and hand gestures.
c. Have the nurse respond to the client's concerns so
the provider can prepare for surgery.
d. Seek the assistance of a nurse on the floor who is
fluent in the client's language.
d. Seek the assistance of a
nurse on the floor who is
fluent in the client's
language.
The nurse is responsible for
ensuring that the client
understands the information
provided regarding the
procedure.
A nurse is performing initial teaching with a client who
will be receiving electroconvulsive therapy (ECT).
Which statement by the client indicates a need for
further teaching?
Select one:
a. "My Dilantin dose will be increased several days
before the procedure."
b. "Before the procedure, I will have an EKG to assess
for heart irregularities."
c. "I will need to continue taking my regular blood
pressure medication."
d. "I will stop taking my lithium for 2 weeks prior to
my procedure."
a. "My Dilantin dose will be
increased several days beforethe procedure."
Because the therapeutic
action of ECT is to induce
seizures, any medications thaaffect the client's seizure
threshold must be decreased or discontinued several days
before the procedure.
Any cardiac conditions, such
as dysrhythmias, should be
monitored and treated beforethe procedure
A daughter of a client with a terminal illness pulls a
nurse to the side and says, "Although my mother's
living will states she is not to be resuscitated, the
family wants everything done to save her if she has a
cardiac arrest." How should the nurse respond?
Select one:
a. "The living will documents your mother's wishes
and must be followed."
b. "I will contact the provider to make him aware of
a. "The living will documents
your mother's wishes and
must be followed."
A living will is a document
that expresses the client's
wishes regarding medical
treatment in the event the
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