NCLEX Review - Management of Care Exam with verified question and answers

NCLEX Review - Management of Care Exam with verified question and answers 1. A client is being prepped for a surgical procedure and the nurse is reviewing the informed consent with the client. The client asks, "Is there any other way to take care of this without having surgery?" The nurse has a duty to first: 1) Reassure the client that the surgery is the best treatment option 2) Tell the client if they don't want the surgery, they don't have to have it 3) Notify the surgeon that the client has additional questions about alterna- tives to surgery 4) Call the surgeon and cancel the surgery until the consent form is signed: 3 Rationale: The client has a right to an explanation of the treatment and its expected results, an- ticipated risks and benefits, possible alternative treatment options and all questions answered before a consent form is signed. Remember, the client is not asking you for your opinion. The client is asking about alternative treatments for the condition. Notify the appropriate health care provider if the client needs additional information that you cannot answer. Once the client has all the necessary information then they can decide not to sign the informed content and cancel the surgery. 2. A nurse is named in a lawsuit. Which of these factors will offer the best protection for that nurse in a court of law? 1) Clinical specialty certification by an accredited organization 2) Complete and accurate documentation of assessments and interventions 3) Above-average performance reviews prepared by nurse manager 4) Sworn statement that health care provider orders were followed: 2 Rationale: The medical record is a legal document. Documentation should include all steps of the nursing process; it must be complete, accurate, concise and in chronological order. Inaccurate or incomplete documentation will raise red flags and may indi- cate the nurse failed to meet the standards of care. The attorney will review the medical record with the nurse before giving a deposition (sworn pretrial testimony). Above-average performance reviews could be considered supporting information.