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 A
Explanation
A. Determining the location of the pain is the first step, as it helps the nurse understand the nature and source of the pain, guiding appropriate intervention and medication administration.
B. Repositioning the client may provide comfort but should follow an assessment of the pain to ensure targeted interventions.
C. Administering the medication without understanding the specifics of the pain is inappropriate, as it may not adequately address the client’s needs.
D. Reviewing the effects of the pain medication is important but should occur after assessing the pain to ensure the correct medication is administered based on the client’s specific situation.
Correct Answer is D
Explanation
A. Contacting the pharmacy may provide information, but the nurse's primary responsibility is to clarify the prescription with the provider, as they ordered the medication.
B. Informing the charge nurse and administering the medication without verifying the dosage is inappropriate and could potentially harm the client.
C. Asking another nurse to verify the dosage is a good practice but does not address the need for clarification from the provider.
D. Contacting the provider to question the dosage is the correct action, as it ensures patient safety by confirming the appropriateness of the prescribed dose before administration.