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 B
Explanation
A. Trying to defecate at different times of the day may not be effective; it's better to establish a regular bowel routine.
B. Increasing daily fluid intake is correct, as adequate hydration helps soften stool and promote regular bowel movements, making it an essential part of managing constipation.
C. Reducing daily activity is incorrect; regular physical activity can stimulate bowel function and alleviate constipation.
D. Consuming a low-fiber diet is not advisable, as a high-fiber diet is recommended for preventing and managing constipation by promoting healthy bowel movements.
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.