Answer to Question 1
C
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Informed consent means that tests, treatments, and medications have been explained to the person, as well as outcomes, possible complications, and alternative procedures. Before any person receives routine treatment, a specialized diagnostic procedure, an invasive procedure, special medical or surgical treatment, or experimental therapy, he or she must give informed consent. Usually, the physician explains the situation and obtains consent. The physician and all healthcare workers must be reasonably satisfied that the client understands what will be done and what the expected or adverse results are likely to be. Asking an open-ended question such as What were you told by the cardiologist about the cardiac catheterization procedure? is the best way to obtain information from the client. All teaching must be documented. The person who will perform any procedure is ultimately responsible for obtaining consent. A nurse must confirm that the signed consent is in a client's health record before performing any procedure. In cases of serious surgery or life-threatening procedures, physicians usually obtain consent. Students do not obtain consent or witness consent forms.
Answer to Question 2
A
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In most states, a person who has medical or nursing education is required to assist, if needed. Each person who gives assistance should act as a reasonably prudent person would, within the limits of education and experience. Thus, a nurse will be expected to render a higher level of emergency care than an untrained person. A law called the Good Samaritan Act is in effect in most states. This law protects the nurse from liability if giving emergency care within the limits of first aid and if acting in a reasonable and prudent manner.