Cardiac-Vascular Nursing (CVRN) Practice Exam

What should a nurse do if a patient's spouse does not want them to know about the risks associated with a carotid angiogram?

1. Perform a neurologic assessment to establish a baseline.

2. Assure the patient's spouse that the risk of stroke is minimal.

3. Offer the patient emotional support and reinforce the benefits of the procedure.

4. Assess the patient's level of understanding of risks, benefits, and alternatives.

The correct answer is: Assess the patient's level of understanding of risks, benefits, and alternatives.

The correct response emphasizes the importance of ensuring that the patient has a clear understanding of their medical situation, including the risks, benefits, and alternatives associated with the carotid angiogram. In healthcare, informed consent is a cornerstone principle, requiring that patients be fully informed about the procedures they are undergoing. This means that regardless of family wishes, the patient has the right to hear about potential risks and make an educated decision. By assessing the patient’s level of understanding, the nurse not only upholds ethical and legal obligations but also empowers the patient to participate in their own care actively. It also provides an opportunity for the nurse to address any misconceptions or anxieties the patient may have, enhancing their confidence about the procedure. This approach reflects a patient-centered care philosophy where the focus is on the individual’s needs and decision-making capacity. Reinforcing education can lead to better outcomes and satisfaction, as patients are more likely to adhere to medical advice when they understand the rationale behind it.