The surgeon has explained the surgical procedure to the client ...

[hbsimmons88]

The surgeon has explained the surgical procedure to the client with the nurse present in the room. The surgeon leaves the room and tells the nurse to obtain the client's consent. The best response by the nurse would be:
 
  1. I can only witness the consent.
  2. I will put the consent on the chart after it is signed.
  3. I will have the family witness the consent.
  4. I will give the client time to think.

Question 2

The nurse is completing the preoperative checklist for a client who is having surgery. The nurse should notify the surgeon if which laboratory test were missing?
 
  1. MRI results
  2. CBC
  3. 24-hour urine study
  4. Protein chemistry test

[Pariscourtney]

Answer to Question 1

Answer: 1

1. The nurse can only witness the consent and ensure that the signed consent is on the chart prior to surgery.
2. The physician, not the nurse, must obtain the signed consent.
3. The family does not witness the signed consent.
4. If the client wants to think about the surgery, the surgeon must come back and obtain the consent.

Answer to Question 2

Answer: 2

1. The nurse would not expect an MRI result for a routine surgery.
2. Routine tests that are considered necessary for surgery are CBC, electrolyte panel, coagulation studies, urinalysis, chest x-ray, and an ECG.
3. A 24-hour urine is not necessary prior to surgery.
4. Protein chemistry studies are not required prior to surgery.