Terms in this set (28)
A. Ask Ms. Jackson is she has received sufficient information to sign the
consent form.
Rationale: The nurse may witness the client's signature if the nurse is able
to determine that the client has been sufficiently informed of necessary
After completing the admission information.
interview, the nurse reviews Ms.
Jackson's medical record and notes
that the surgical consent form is filled
out but not signed by the client. What
action should the nurse take?
A. Ask Ms. Jackson is she has
received sufficient information to sign
the consent form.
B. Call the operating room and notify
the staff that the surgery needs to be
cancelled.
C. Notify the surgeon of the need to
come to the client's room so the
consent can be signed.
D. Inform a family of the need to
serve a as a witness to the client's
signature.
, C. Before cleansing the client's hip incision.
After Ms. Jackson ambulates with the
physical therapist, the nurse prepares
to the surgical dressing. While
obtaining supplies, the nurse reviews
the sterile procedure to be followed.
At what step in the procedure should
the nurse don sterile gloves?
A. Prior to removing the dressing on
the client's hip.
B. Before opening the new sterile
package.
C. Before cleansing the client's hip
incision.
D. After cleansing the client's hip
incision.
, C. "It sounds as if you went through a difficult time when your father died."
After Ms. Jackson stops crying, she
states, "My father was in so much
pain before he died. Talking about
pain brings back so many memories."
How should the nurse respond?
A. "We do not need to talk about pain
control today if it makes you sad."
B. Perhaps you need to see a
counselor to help you resolve your
grief."
C. "It sounds as if you went through a
difficult time when your father died."
D. "You need to focus on your own
needs now and not on past
memories."
A. Ask Ms. Jackson is she has received sufficient information to sign the
consent form.
Rationale: The nurse may witness the client's signature if the nurse is able
to determine that the client has been sufficiently informed of necessary
After completing the admission information.
interview, the nurse reviews Ms.
Jackson's medical record and notes
that the surgical consent form is filled
out but not signed by the client. What
action should the nurse take?
A. Ask Ms. Jackson is she has
received sufficient information to sign
the consent form.
B. Call the operating room and notify
the staff that the surgery needs to be
cancelled.
C. Notify the surgeon of the need to
come to the client's room so the
consent can be signed.
D. Inform a family of the need to
serve a as a witness to the client's
signature.
, C. Before cleansing the client's hip incision.
After Ms. Jackson ambulates with the
physical therapist, the nurse prepares
to the surgical dressing. While
obtaining supplies, the nurse reviews
the sterile procedure to be followed.
At what step in the procedure should
the nurse don sterile gloves?
A. Prior to removing the dressing on
the client's hip.
B. Before opening the new sterile
package.
C. Before cleansing the client's hip
incision.
D. After cleansing the client's hip
incision.
, C. "It sounds as if you went through a difficult time when your father died."
After Ms. Jackson stops crying, she
states, "My father was in so much
pain before he died. Talking about
pain brings back so many memories."
How should the nurse respond?
A. "We do not need to talk about pain
control today if it makes you sad."
B. Perhaps you need to see a
counselor to help you resolve your
grief."
C. "It sounds as if you went through a
difficult time when your father died."
D. "You need to focus on your own
needs now and not on past
memories."
