The client is scheduled to have a colonoscopy tomorrow, during ...

[809779]

The client is scheduled to have a colonoscopy tomorrow, during which a camera is inserted into the rectum to visualize the lower bowel.
 
  The nurse asks the client if he has any questions and he says, No, the doctor explained the procedure and I signed the consent form. It sounds easy enoughall I have to do is stand in front of a machine for 1 minute and I'm all done. Which is the appropriate response?
  A) You've confused the colonoscopy with something else.
  B) You should likely not have signed that consent form.
  C) I doubt if this is how your doctor explained the procedure.
  D) This doesn't sound like the procedure for a colonoscopy. Let me ask the team leader to discuss this procedure with you.

Question 2

A nurse has completed morning care and assessments and will now document the findings. When documenting care on a client's chart, the nurse should:
 
  A) include personal opinions and feelings that are related to care.
  B) use only officially approved abbreviations.
  C) completely erase or delete all errors.
  D) write a detailed explanation of all reasons for a medical error.

[kristenb95]

Answer to Question 1

Ans: D
Feedback:
The client's consent is based on erroneous information and is thus invalid. The team leader would know if the client is scheduled for tests in addition to the colonoscopy and he could also go over the consent form again. Telling the client that he has confused the procedure with something else does not address the erroneous information. Informing the client that he should have not signed the informed consent may increase the client's anxiety level unduly and create distrust with the care relationship being provided. It is counterproductive in the nurseclient relationship when the nurse tells the client that he or she does not believe that the doctor explained the procedure the way the client stated.

Answer to Question 2

Ans: B
Feedback:
Using incorrect abbreviations is the source of many medical and nursing errors. Personal opinions and feelings should not appear in the legal record. Charted entries are never erased or deleted and details of a medical error are entered on an incident report, not the client's chart.

[809779]

TYSM

[ttt030911]

Gracias!