Question

166. The nurse is contributing to a staff development conference about informed consent. Which of the following information should the nurse suggest including? Select all that apply. 1."The client may not withdraw consent once the informed consent form has been signed."

2."The student nurse assigned to the client may witness and sign an informed consent form if a staff nurse is not available."

3."The nurse is responsible for explaining the procedure to the client prior to asking for the informed consent form to be signed."

4."The client who is a minor and enlisted in the military is considered legally capable of signing their own informed consent form."

5."The nurse's signature on an informed consent form indicates that the client has voluntarily given consent for the treatment or procedure."

197. The nurse is caring for a couple who just experienced a stillbirth. The client's spouse says to the nurse, "I am tired and need to go home. I will probably take the baby's bassinet back to the store while I am gone since we just started to buy furniture for the nursery." Which of the following responses would be most appropriate for the nurse to make?

1."Your wife needs you here with her."

2."There will be plenty of time to return the bassinet."

3."I can help you talk with your wife about the nursery."

4."You need to get some rest instead of working."

198. The nurse is reinforcing teaching with a client who had a renal transplant 3 days ago and is receiving prescribed cyclosporine. Which of the following information should the nurse reinforce?

1."You should notify your primary health care provider if you experience a sore throat."

2."You should increase your intake of grapefruit juice while you are taking cyclosporine."

3."You may experience a decreased urine output while you are taking cyclosporine."

4."You will need to take this medication until your new kidney is functioning."

226. The charge nurse in a long-term care facility has completed client care assignments for unlicensed assistive personnel (UAP). Which of the following statements by the charge nurse would provide UAP with the best directions regarding the assignments?

1."Assist the client with dementia to ambulate to the bathroom after eating."

2."Offer between-meal snacks to the client with diabetes mellitus (type 2)."

3."Help the client with mitral valve prolapse (MVP) prepare for a scheduled dental appointment today."

4."Encourage the client with gastroenteritis to drink 1 cup of liquid every 2 hours."

235. The nurse and unlicensed assistive personnel (UAP) are caring for assigned clients. Which of the following activities would be appropriate for the nurse to assign to a UAP? Select all that apply.

1.weighing the client with heart failure

2.providing oral hygiene for the client with severe Alzheimer's disease (AD)

3.palpating the pedal pulses of the client who had a cardiac catheterization 2 hours ago

4.obtaining and documenting vital signs from the client who had an appendectomy 24 hours ago

5.obtaining a pulse oximetry reading from the client with chronic obstructive pulmonary disease (COPD)

Answer 1

166. 4. The client who is a minor and enlisted in the military is considered legally capable of signing their own informed consent form. (Minors serving in the military are considered emancipated)

3. The nurse is responsible for explaining the procedure to the client prior to asking for the informed consent form to be signed

5. The nurse's signature on an informed consent form indicates that the client has voluntarily given consent for the treatment or procedure

Overall, the main objective of informed consent is to assure patient autonomy and the patient can change their mind anytime during the whole process as it is their right to decide for themself.

197. 2."There will be plenty of time to return the bassinet."

As we know that stillbirth is the unfortunate death or loss of a baby before or during delivery. When a couple has just experienced a stillbirth, there is no sense in thinking about the return of the bassinet as it will add an extra sense of heartbreak to the couple and nothing else.

198. 1."You should notify your primary health care provider if you experience a sore throat."

If a person experiences sore throat, fever, chills, and other signs of infection while taking cyclosporine following a renal surgery, they must immediately call their doctor since the medication comes with the tendency to develop an infection or cancer. Drinking grapefruit juice should be strictly avoided while taking cyclosporine or cyclosporine as it contains a lot of potassium. Flushing is a normal side effect of the drug and it is a long-time drug which means a person needs to continue taking this medication in the long run failing to which can result in organ rejection.

235. 1.weighing the client with heart failure

2.providing oral hygiene for the client with severe Alzheimer's disease (AD)

5.obtaining pulse oximetry reading from the client with chronic obstructive pulmonary disease (COPD)

Palpating the pedal pulses of the client who had a cardiac catheterization 2 hours ago is a complex process and should be carried out by the RN only. Appendectomy is considered to be a major type of abdominal surgery that can also result in internal bleeding or infection of the surgical wound. Hence, all the vital signs must be carried by the RN for the first 24-48 hours.