Name_________________ (5 points possible) Situation: A 55-year-old female client is scheduled for a laparoscopic cholecystectomy and possible open cholecystectomy. The client had been experiencing abdominal symptoms for several months. A baseline assessment of all symptoms was conducted. The client has received instructions concerning (a) the procedure; (b) pain control following the surgery; and (c) the importance of coughing and deep breathing and leg exercises. The client has also signed an informed consent for the surgery. The nurse had completed the client’s physical preparation for the surgery. The client is now being transported to the pre- anesthesia care unit with her records and the completed preoperative checklist . 1 What are the nurse’s main responsibilities in regard to obtaining the client’s informed consent for the surgery? (1pt) The nurse’s role is to clarify facts presented by the physician and dispel myths that the patient may have about surgery, nurse needs to verify that the consent form is signed and serve as a witness to the signature not the fact that the patient is informed. The surgeon is responsible for obtaining signed consent before sedation and/or surgery. 2 What measures can the nurse take to allay the client’s anxiety concerning the surgery? (1/2 pt) Nurse should asses the patient’s level of anxiety and then plan interventions such as teaching and communicating with the pt. before surgery. Incorporate available support systems in plan of care. Some interventions include Perioperative teaching- finding out what the pt. knows about the surgery then providing factual information to promote his or her understanding allow time for questions. Answer questions accurately and refer unanswered questions to proper professional. Encourage communication by having pt.
- Summer '18
- Informed consent, laparoscopic surgery, Cholecystectomy