NCLEX Style Study Question
Correct answer now posted by Tanya…
A client will be having a D&C (Dilatation & Curettage) tomorrow morning for retained placenta after the vaginal delivery of her health daughter. The informed consent is on the chart but has not been signed. The nurse asks the client if she understands this procedure. She states that she does not and would like information about it. The nurse should:
- contact the obstetrician who will be performing the D&C
- delegate this to the LPN to perform informed consent and get signatures
- educate her about the D&C procedure and both sign the form
- notify the nursing supervisor and complete an incident report
Source: Question & Rationale provided by Drexel University’s NCLEX EXCEL
January 28th, 2006 at 11:45 pm
Number Three. Does the Obstetrician need to describe procedure? LPN isn’t allowed to educate. What incident? LOL
I think the answer is number three.
January 29th, 2006 at 6:53 am
The LPN can educate, but is not responsbile for education.
January 29th, 2006 at 1:55 pm
It’s number 3. It’s the nurse’s responsibility to educate the client.
January 29th, 2006 at 7:29 pm
It’s number 1 because it is the responsbility of the physican who is performing the procedure to make sure that all of the patients questions are answered and that they fully understand the procedure. Yes, the RN should educate the patient, but it is the physician’s responsiblity in this case.
January 29th, 2006 at 11:27 pm
it’s # 3..one of the nurse’s responsibility is to educate the client and to get an informed consent.
January 30th, 2006 at 12:14 am
#1. The DR is to explain the procedure. The nurse may clarify questions regarding the procedure if he/she is able to.
January 30th, 2006 at 12:15 am
#1
January 30th, 2006 at 12:26 am
since the informed consent is already on the chart of the patient, it is then the responsibility of the nurse to let it be signed by the patient.
February 1st, 2006 at 7:49 am
#1, it is Md responsibility to get informed consent
February 4th, 2006 at 2:39 am
#1
February 6th, 2006 at 1:27 pm
#1 It is the doctors responiblty to explain what will be done, not the nurses. If she understood what was going to happen and explain that to the nurse then getting her to sign the consent would be approiate.
February 6th, 2006 at 2:13 pm
Correct answer:1
The physician who will be performing the surgical procedure is responsible for informing the client about the rationale for, the need for the procedure, the steps involved the risks, benefits, expected results, and alternative treatments.
Note: The nurse can educate the patient about the procedure, but it is the doctor’s responsibility to discuss risks/benefits and to get informed consent. The nurse only witnesses the signature. The fact that the informed consent is on the chart already is only as a convience to the doctor so he have it quickly available.
February 9th, 2006 at 4:54 am
the answer is #1, only MD that is performing the D&C explains the procedure, your job as an RN is to witness consent and then answer any questions that pt has Such as Do’s and Don’ts post op etc.
February 19th, 2006 at 2:48 pm
Answer is one- only the physician that is performing the procedure can get informed consent- the nurse is merely a witness to the teaching, and it facilitative to get the physician if the patient has any questions about the procedure.