The nurse is evaluating the outcome Client describes surgical ...

[genevieve1028]

The nurse is evaluating the outcome Client describes surgical procedures and postoperative treatment and determines that the client has not achieved this outcome. The nurse should:
 
  1. Obtain the consent, because this is expected with preoperative anxiety
  2. Teach the client all about the procedure
  3. Ask the unit manager to assist with a teaching plan
  4. Inform the surgeon so that information can be provided

Question 2

Which of the following statements most accurately reflects nursing accountability in the in-traoperative phase?
 
  1. I would like to see the client have a regional anesthetic rather than a general an-esthetic.
  2. There seems to be a missing sponge, so a recount should be done of all the sponges that have been removed.
  3. Did the client receive the medications and sign the consent?
  4. The client looks to be reactive and stable.

[asware1]

Answer to Question 1

ANS: 4
When the client has little or no understanding about the surgery, the health care provider will need to be notified to reinform the client. If the client does not understand the surgical proce-dure, the client would not be giving informed consent. It is the surgeon's responsibility to explain the procedure and obtain the informed consent. The nurse can augment the health care provider's explanations, but it is the health care provider's responsibility to teach the client about the pro-cedure. This teaching includes the need for the procedure, steps involved, risks, expected results, and alternative treatments.

Answer to Question 2

ANS: 2
The scrub nurse counts the sponges and instruments, and the circulating nurse verifies the counts. This statement by the nurse reflects accountability in the intraoperative phase.