NCLEX-RN

Category - Safety

A nurse is preparing to transport the client to the heart station for a cardiac stress test. The nurse realizes that the client hasn’t signed the informed consent. When the nurse hands the consent to the client, the client asks what exactly she will do during the test. How should the nurse respond to this question?
  1. “Probes will be attached to your chest that will measure the health of your heart while you run on a treadmill.”
  2. “I can provide you some informational pamphlets about this test and leave this consent so you can review it.”
  3. “Has the doctor discussed this procedure with you?”
  4. Inform the physician that the client refused to continue with the procedure; document the event.
Explanation
Answer: C - The nurse should check if the physician had discussed this procedure with the client. Providing the client relevant information on the procedure is the physician’s ethical obligation; the nurse can only reiterate or clarify basic points about the procedure and ensure that the consent is signed prior to treatment or tests. The client should have the opportunity to ask questions to have a better understanding of the procedure; the nurse must document this communication process.
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