1. A nurse is discussing informed consent with a client 2. explanation of avail-
who is scheduled for a hysterectomy. What compo- able question and con-
nents should the informed consent include? Select all cerns abut the procedure
that apply 3. answers to questions
1. duplicate of the patients bill of rights and concerns abut the
2. explanation of available question and concerns abut procedure
the procedure 4. complete the descrip-
3. answers to questions and concerns abut the proce- tion of the possible dan-
dure gers and discomforts
4. complete the description of the possible dangers
and discomforts
5. countersignature by the person designated in the
clients living will
2. A 20 year old developmentally challenged women is a 2. court-appointed indi-
resident in a group home. she has had four abortions vidual or group
in the past 2 years and the agency supervisor recom-
mends that she be sterilized. it is obvious that the client
is unable to exercise informed consent for sterilization.
the nurse understands that the procedure cannot be
performed without legal from whom?
1. next of kin
2. court-appointed individual or group
3. agency designated to perform the abortion
4. organization or agency licensed to administer the
group home
3. a client on the psychiatric unit is undergoing a pre- 2. having the client verbal-
treatment evaluation for electroconvulsive therapy ize her understanding and
(ECT). because of the client's profoundly depressed the outcomes of the pro-
behavior, the nurse doubts that the client can provide cedure
informed consent. what should the nurse's initial inter-
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vention be?
1. consulting with the hospital's legal staff and follow-
ing their recommendation
2. having the client verbalize her understanding and
the outcomes of the procedure
3. asking the client to sign the consent form because
the client has not been declared incompetent
4. suggesting to the health care provider that a family
member sign the consent form for the client
4. before a treatment requiring informed consent can be 2. alternative treatment
performed. what information must the client be given? options
select all that apply. 3. the risks and benefits of
1. the cost of the treatment the treatment
2. alternative treatment options 4. the risks involved in re-
3. the risks and benefits of the treatment fusing the treatment
4. the risks involved in refusing the treatment 5. the nature of the prob-
5. the nature of the problem requiring the treatment lem requiring the treat-
ment
5. what should the nurse do when obtaining an informed 1. the client may or may
consent from a 17 year old adolescent? not be allowed to give con-
1. the client may or may not be allowed to give consent sent
2. the client cannot make informed decisions about
health care
3. if the client is permitted to give voluntary consent
when parents are not available
4. the client probably will be unable to choose between
alternatives when asked to consent
6. a health care provider informs a client that midazolam 2. induces sedation
will be administered preoperatively. later, the client ask
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the nurse why this medication is given. what primary
reason should the nurse consider when formulating a
response?
1. reduces pain
2. induces sedation
3. produces amnesia
4. limits oral secretions
7. a nurse is reviewing preoperative instructions with a 3. "consume a light
client who is scheduled for orthopedic surgery at 8:00 evening meal tonight and
AM the next day. what advice does the nurse give the then no food or fluids after
client? midnight"
1. "have your dinner completed by 6:00 PM tonight and
then no foods or fluids after that"
2. "drink whatever liquids you want tonight and then
only clear liquids tomorrow morning"
3. "consume a light evening meal tonight and then no
food or fluids after midnight"
4. "eat lunch today and then do not drink or eat any-
thing until after your surgery"
8. Neomycin, 1 gram, is prescribed preoperatively for a 3. "It will kill the bacteria in
client with cancer of the colon. The client asks why this your bowel and decrease
is necessary. How should the nurse respond? the risk for infection after
1. "It is used to prevent you from getting a bladder surgery."
infection before surgery."
2. "It will decrease your kidney function and lessen
urine production during surgery."
3. "It will kill the bacteria in your bowel and decrease
the risk for infection after surgery."
4. "It is used to alter the body flora, which reduces
spread of the tumor to adjacent organs."