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, 1. a nurse is preparing a client who speaks limited English for surgery. which of the following is the most
appropriate nursing action in obtaining informed consent from this client?
a. do nothing as this is the provider's primary concern
b. the nurse should explain the procedure using pictures and hand gestures
c. have the nurse respond to the client's concerns so the provider can prepare for surgery
d. seek the assistance of a nurse on the floor who is fluent in the client's language - correct ans:d.
2. a nurse is performing initial teaching with a client who will be receiving electroconvulsive therapy
(ECT). which statement by the client indicates a need for further teaching?
a. my dilantin dose will be increased several days before the procedure
b. i will stop taking my lithium for 2 weeks prior to my procedure
c. before the procedure i will have an EKG to assess for heart irregularities
d. i will need to continue taking my regular blood pressure med - correct ans:a.
3. a daughter of a client with a terminal illness pulls a nurse to the side and says, "although my mother's
living will states she is not to be resuscitated, the family wants everything done to save her if she has a
cardiac arrest." how should the nurse respond?
a. since the living will is a legal document a lawyer will have to make the changes
b. i will contact the provider to make him aware of your request
c. if your mother has a cardiac arrest, we will begin resuscitation if you wish
d. the living will documents your mother's wishes and must be followed - correct ans:d.
4. a provider informs the wife of a comatose client with terminal cancer that she will need to sign the
consent for insertion of a gastrostomy feeding tube. the nurse knows this is against the client's wishes.
what is the appropriate action by the nurse?
a. inform the wife she cannot sign the consent
b. consult the hospital's ethics committee
c. ask the provider for an order for a NG tube instead
d. prepare the consent for the wife to sign - correct ans:b.