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.
Free Nursing Test Bank
- Free Pharmacology Quiz 1
- Free Medical-Surgical Quiz 2
- Free Fundamentals Quiz 3
- Free Maternal-Newborn Quiz 4
- Free Anatomy and Physiology Quiz 5
- Free Obstetrics and Pediatrics Quiz 6
- Free Fluid and Electrolytes Quiz 7
- Free Community Health Quiz 8
- Free Promoting Health across the Lifespan Quiz 9
- Free Multidimensional Care Quiz 10
View Related questions
Correct Answer is B
Explanation
Choice A rationale
Blood should not be stored at room temperature for more than 30 minutes. The second unit should be stored in a blood bank refrigerator until needed.
Choice B rationale
Each unit of blood should be infused within 4 hours to reduce the risk of bacterial contamination.
Choice C rationale
RBCs should be administered using filtered IV tubing to prevent the infusion of clots and other debris.
Choice D rationale
Dextrose 5% in water should not be used during the infusion of packed RBCs as it can cause hemolysis.
Correct Answer is D
Explanation
Choice A rationale
Placing the infant in a recumbent position during feeding is not recommended as it can increase the risk of aspiration. The infant should be held in an upright or semi-upright position to facilitate safe swallowing and digestion.
Choice B rationale
Allowing the infant 45 minutes for each feeding can be too long and may lead to fatigue and decreased feeding efficiency. It is generally recommended to limit feeding sessions to 20-30 minutes to ensure the infant gets adequate nutrition without becoming overly tired.
Choice C rationale
Allowing the infant to self-soothe by crying prior to feeding is not advisable, especially for infants with heart failure. Crying can increase the infant’s metabolic demands and oxygen consumption, which can be detrimental to their condition.
Choice D rationale
Implementing a 3-hour feeding schedule helps ensure that the infant receives regular and consistent nutrition. This schedule can help manage the infant’s energy levels and prevent fatigue, which is important for infants with heart failure.