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 before the procedure."

Because the therapeutic action of ECT is

to induce seizures, any medications that

affect 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 before the 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 your request."

c. "If your mother has a cardiac arrest, we

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 client becomes

incapacitated and is facing end-of-life

issues. The client's wishes should be

followed by the health care provider.