A nurse is obtaining informed consent for an adolescent who is scheduled for a cardiac catheterization. The adolescent’s guardian states, “I don’t understand why they need to do this procedure.”. Which of the following actions should the nurse take?
Explain the procedure to the adolescent and their guardian.
Witness the adolescent’s signature on the informed consent form.
Request assistance from the anesthesiologist to clarify the misunderstanding.
Notify the provider who is scheduled to perform the procedure.
The Correct Answer is D
Choice A rationale
While explaining the procedure to the adolescent and their guardian is important, it is not the nurse’s primary responsibility to provide detailed explanations of the procedure. This should be done by the provider performing the procedure.
Choice B rationale
Witnessing the adolescent’s signature on the informed consent form is part of the nurse’s role, but it does not address the guardian’s lack of understanding about the procedure.
Choice C rationale
Requesting assistance from the anesthesiologist to clarify the misunderstanding is not appropriate, as the anesthesiologist may not be the best person to explain the procedure. The provider performing the procedure should be the one to provide clarification.
Choice D rationale
Notifying the provider who is scheduled to perform the procedure is the correct action. The provider is responsible for ensuring that the patient and their guardian fully understand the procedure and its risks and benefits before obtaining informed consent.
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Correct Answer is C
Explanation
Choice A rationale
This is incorrect because the child’s feet should be able to touch the ground comfortably when seated on the bicycle, kbut not necessarily 3 to 6 inches off the ground. Proper seat height is crucial for balance and control.
Choice B rationale
Riding against the flow of traffic is dangerous and increases the risk of accidents. Bicyclists should always ride with the flow of traffic to be more predictable to drivers.
Choice C rationale
Walking the bicycle through intersections is a key safety measure to prevent accidents. It ensures that the child is more visible to drivers and reduces the risk of collisions.
Choice D rationale
Keeping the bicycle at least 3 feet from the curb is not a standard safety recommendation. Instead, children should ride as close to the curb as safely possible, following the flow of traffic.
Correct Answer is C
Explanation
Choice A rationale
Offering a prize for not crying can create undue pressure and anxiety for the child.
Choice B rationale
Telling the child the medicine will fix them can be misleading and does not provide accurate information about the procedure.
Choice C rationale
Allowing the child to choose which leg to receive the injection in gives them a sense of control and can reduce anxiety.
Choice D rationale
Telling the child they will only feel a little stick can be misleading and may not adequately prepare them for the discomfort.