When speaking with the client, the nurse discovers that the ...

[tuffie]

When speaking with the client, the nurse discovers that the client does not have a complete understanding of the surgical procedure. Which of the following courses of action should the nurse take?
 
  a. Obtain the consent, as this is expected with preoperative anxiety.
  b. Teach the client all about the procedure.
  c. Ask the unit manager to assist with a teaching plan.
  d. Inform the surgeon, so that necessary information can be provided to the client.

Question 2

The patient experiencing which of the following would have an increased metabolic rate and tissue oxygen demand?
 
  a. Fever
  b. Anemia
  c. Toxic inhalant
  d. Airway obstruction

[bhavsar]

Answer to Question 1

D
Surgery cannot be legally or ethically performed until the client understands the need for the procedure, the steps involved, and the related risks, expected results, and alternative treatments.
If the client does not understand the surgical procedure, the client would not be giving informed consent. It is the surgeon's responsibility to explain the procedure and obtain the informed con-sent.
The nurse can augment the physician's explanations, but it is the physician's responsibility to teach the client about the procedure. This teaching includes the need for the procedure, the steps involved, and the related risks, expected results, and alternative treatments.
It is not the unit manager's responsibility to inform the client about the procedure and obtain consent; this is the responsibility of the surgeon.

Answer to Question 2

A

Feedback
A The patient with a fever will have an increased metabolic rate and tissue oxygen demand.
B Patients with anemia will have decreased oxygen-carrying capacity in their blood.
C Patients who have inhaled a toxic substance will have decreased oxygen-carrying capacity in their blood.
D Patients with an airway obstruction will experience limited delivery of inspired oxygen to their alveoli.

[tuffie]

Both answers were spot on, thank you once again

[bhavsar]

Great! Please up vote