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 D
Explanation
Choice A rationale
Odorless urine is not a specific indicator of effective treatment for acute poststreptococcal glomerulonephritis (APSGN)16.
Choice B rationale
A temperature of 37.2°C (99°F) is within the normal range and does not specifically indicate effective treatment for APSGN16.
Choice C rationale
No report of pain with voiding is not a specific indicator of effective treatment for APSGN16.
Choice D rationale
Clear urine indicates that the hematuria (blood in urine) has resolved, which is a sign of effective treatment for APSGN1617.
Correct Answer is B
Explanation
Choice A rationale
Engaging in parallel play is a normal developmental behavior for an 18-month-old toddler. It indicates that the child is beginning to interact with peers, even if they are not yet playing cooperatively.
Choice B rationale
Walking with assistance at 18 months may indicate a potential developmental delay. By this age, most toddlers should be able to walk independently. If a child is still requiring assistance, it may warrant further evaluation.
Choice C rationale
Speaking at least 10 words is within the expected developmental range for an 18-month-old. This milestone indicates that the child is developing language skills appropriately.
Choice D rationale
Building a tower of 3 blocks is a typical developmental milestone for an 18-month-old. It demonstrates fine motor skills and cognitive development.