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 will begin

resuscitation if you wish."

d. "Since the living will is a legal document a lawyer will

have to make the changes."

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