A nurse is caring for a client who has a hip fracture that requires surgical repair. Which of the following health care professionals is responsible for obtaining informed consent from the client for the procedure?
Nurse
Surgical suite nurse
Anesthesiologist
Surgeon
The Correct Answer is D
A. The nurse can provide information about the procedure and assist the client in understanding the consent form, but they are not responsible for obtaining informed consent.
B. The surgical suite nurse assists in the surgical environment but does not have the authority to obtain consent.
C. The anesthesiologist discusses the anesthesia involved but does not obtain consent for the surgery itself.
D. The surgeon is responsible for obtaining informed consent, as they must explain the procedure, risks, and benefits to the client before the client can make an informed decision.
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Correct Answer is C
Explanation
A. Checking residual volume is important for assessing tolerance to feedings, but it is not the priority action to prevent complications related to decreased consciousness.
B. Observing the client’s respiratory status is crucial but not the priority action related to enteral feedings.
C. Elevating the head of the client's bed 30° to 45° is the priority action, as it reduces the risk of aspiration during enteral feeding, which is a significant concern for clients with decreased consciousness.
D. Monitoring intake and output is important for overall assessment but is not the immediate priority in this context.
Correct Answer is D
Explanation
A. Using technical language can confuse the client and hinder understanding. Educational sessions should use clear and simple language.
B. Starting with the least important information may lead to client confusion or lack of retention of critical details about the medication. Important information should be prioritized.
C. Turning on the television can be distracting for the client, making it difficult for them to focus on the medication education. A quiet environment is more conducive to learning.
D. Providing educational material written at a 6th grade reading level ensures that the information is accessible and understandable for the client, promoting better comprehension and adherence to medication regimens.