The nurse takes the form identified below to a patient's room in ...

[dakota nelson]

The nurse takes the form identified below to a patient's room in preparation for an emergency surgical procedure. The patient states, Doc said he would tell me all about the surgery when he gets here. Do you know what they are going to do?
 
  What is the nurse's best response?
 
  1. Let's wait on signing this until your physician has talked to you.
  2. Let me go get a medical surgical textbook so I can use the pictures to explain the procedure.
  3. I am not certain; let me call the nursing supervisor to explain it to you.
  4. Go ahead and sign this so we will have that part done when the physician gets here.

Question 2

The patient who is preparing for surgery asks the nurse to keep his glasses and hearing aid in place until he is under anesthesia. Which nursing response demonstrates accurate therapeutic communication?
 
  1. I will contact the surgery department to discuss your requests.
  2. You cannot keep those in.
  3. The policies in the surgery unit will not allow it.
  4. Certainly, you can keep them for that time.

[tdewitt]

Answer to Question 1

Correct Answer: 1

The form pictured is an informed consent document. It should not be signed until the procedure has been explained to the patient, and the explanation is the responsibility of the physician. This nurse should not explain the procedure or ask another nurse to do so. The signing of this document must wait until the patient is educated about the procedure so that true informed consent can be given.

Answer to Question 2

Correct Answer: 1

Although communication will be enhanced if the patient can keep glasses and hearing aids for as long as possible, the nurse will need to check with the surgical department first before granting the patient's wish. As a patient advocate, the nurse is responsible for making an inquiry. The nurse does not have the authority to make decisions on behalf of the surgical department and should not give information that may be inaccurate.

[dakota nelson]

Excellent

[kusterl]

Gracias!