Question 1

Which are actions the nurse implements during the informed consent process when providing patient care? Select all that apply.

Accepted Answer

During the informed consent process, the nurse's responsibilities include reviewing the consent form with the patient to ensure they understand what they are signing (A), witnessing the patient's signature on the consent form to confirm it was signed voluntarily (B), and validating the patient's understanding of the information presented for the procedure (E). Teaching the patient why the procedure is being implemented (C) and educating the patient on adverse effects associated with the procedure (D) are typically the responsibilities of the healthcare provider performing the procedure.

Question 2

The nurse is admitting an older adult patient for surgery. Which specific assessments are most important to include when preparing this patient for surgery? Select all that apply.

Accepted Answer

Medications currently being taken are crucial to avoid interactions with anesthesia or other perioperative drugs. Cognitive status is important to assess the patient's ability to understand and consent to the procedure. Skin integrity is vital to prevent pressure ulcers and other complications during and after surgery.

Question 3

The nurse correlates an increased risk of which complication related to a patient wearing jewelry in the operating suite?

Accepted Answer

Jewelry can conduct electricity, increasing the risk of burns during procedures that use electrical equipment, such as electrocautery.

Question 4

According to the World Health Organization, which members of the surgical team are required to be involved in the completion of the Surgical Safety Checklist before the skin incision is made? Select all that apply.

Accepted Answer

The World Health Organization's Surgical Safety Checklist requires the involvement of the anesthesiologist or anesthetist, nurse, and surgeon to ensure all safety protocols are followed before the skin incision is made.

Question 5

A patient is informed that a surgical procedure is to be scheduled in 2 weeks. Which teaching points does the nurse include to prepare the patient for the surgery? Select all that apply.

Accepted Answer

The nurse should prepare the patient by explaining deep breathing and coughing exercises, the location of the surgical incision, the presence of dressings or drains, and how to use the pain scale to communicate pain levels. These points help the patient understand what to expect and how to manage post-operative care.

Question 6

The nurse must verify a patient's identity during the first time-out process. Which actions by the nurse are appropriate? Select all that apply.

Accepted Answer

The answer of The nurse must verify a patient's identity...

Question 7

The nurse educator for surgical services is planning an educational session related to informed consent. Which of the following situations requires two signatures on the consent form? Select all that apply.

Accepted Answer

The answer of The nurse educator for surgical services is...

Question 8

Which should the nurse ask the patient to verify during the initial time-out, the "pause for cause"? Select all that apply.

Accepted Answer

These are all important questions to verify during the initial time-out, the "pause for cause", to ensure that the correct patient is having the correct procedure performed on the correct side of the body.

Question 9

The nurse performs preoperative teaching for a patient requiring a surgical intervention. Which actions by the patient indicate appropriate understanding of the information provided? Select all that apply.

Accepted Answer

These actions indicate understanding as they show the patient can perform necessary postoperative activities (A, C, D) and engage in communication about their care (E). Lack of anxiety (B) is not a reliable indicator of understanding.

Question 10

In working in perioperative services, the nurse understands that which of the following are the required components of the informed consent for the actual surgical procedure being planned? Select all that apply.

Accepted Answer

Informed consent must include the name and reason for the surgery, the name of the surgeon performing the surgery, and all alternative options to surgery. These components ensure that the patient is fully informed about the procedure, who will perform it, and the available alternatives.

Quiz 15: Priorities for the Preoperative Patient