Author Question: The nurse is about to obtain consent from a client who is scheduled to undergo a surgical procedure ... (Read 353 times)

dbose · **on:** Jul 22, 2018

The nurse is about to obtain consent from a client who is scheduled to undergo a surgical procedure the next morning. What does the nurse's signature as a witness on the informed con-sent form indicate?

a. The client fully understands the procedure.
b. The client agrees with the choice of the procedure to be performed.
c. The client has voluntarily signed the form.
d. The client has authorized the physician to continue with the treatment.

Question 2

The nurse is administering ibuprofen (Advil) to an older patient. Which of the following assessment data causes the nurse to hold the medication? (Select all that apply.)

a. Past medical history of gastric ulcer
b. Patient states last bowel movement was 4 days ago
c. Stated allergy to aspirin
d. Patient states has 2/10 intermittent joint pain
e. Patient experienced respiratory depression after administration of an opioid medication

janeli · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

C
A nurse's signature witnessing the consent means that the client voluntarily gave consent, that the client's signature is authentic, and that the client appears to be mentally competent to give consent.
It is the physician's responsibility to make sure that the client fully understands the procedure. If the nurse suspects lack of understanding in the client, the nurse should notify the physician.
The nurse's signature does not indicate that the client agrees with the choice of the procedure to be performed but that the client has voluntarily given consent and is mentally competent to do so. Clients have the right to refuse treatment, which also is signed and witnessed.
The nurse's signature does not verify that the client has authorized the physician to continue with treatment. It verifies only that the consent was given voluntarily, that the client is mentally com-petent to give consent, and that the signature is authentic.

Answer to Question 2

A, C
NSAIDs can cause bleeding, especially in the gastrointestinal (GI) tract; therefore, NSAIDs are most likely contraindicated in this patient. Patients with an allergy to aspirin are sometimes also allergic to other NSAIDs. The nurse needs to verify that the health care provider is aware of the history of GI bleeding and of allergy to aspirin before administering ibuprofen. NSAIDs do not interfere with bowel function and are used for the treatment of mild to moderate acute intermittent pain. NSAIDs also do not suppress the central nervous system.