A nurse is caring for a client who is scheduled for an elective surgical procedure. Which of the following actions should the nurse take regarding informed consent?
Obtain the client's consent.
Explain the procedure to the client if they do not understand.
Witness the client's signature.
Explain the risks and benefits of the procedure.
The Correct Answer is C
A. Obtaining the client's consent is the responsibility of the provider, not the nurse. The nurse should ensure the client is informed but cannot independently obtain consent.
B. It is not within the nurse's scope of practice to explain the procedure in detail; this is the responsibility of the healthcare provider. The nurse can clarify information if the client has questions but should not assume the role of the educator regarding the procedure.
C. Witnessing the client's signature is an appropriate action for the nurse once the client has received information from the provider and understands the procedure, as it confirms that the client voluntarily consents.
D. Explaining the risks and benefits of the procedure is also the responsibility of the healthcare provider, as they are the ones performing the procedure and are qualified to discuss it in detail.
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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 C
Explanation
A. Milk, eggs, and cheese are primarily sources of protein and fats, with minimal carbohydrates.
B. Chicken is a protein source, while green beans and apples provide some carbohydrates, but not at the same level as the correct answer.
C. Rice, potatoes, and oranges are all high in carbohydrates, making this the group with the highest carbohydrate content. Rice and potatoes are starchy foods, while oranges provide simple carbohydrates.
D. Butter, oils, and avocados are high in fats and contain negligible carbohydrates.