A charge nurse on a pediatric unit is reviewing informed consent guidelines with a newly licensed nurse. For which of the following clients should the nurse obtain informed consent from a guardian?

A 15-year-old client who requires an open reduction of a fracture.

A 6-month-old infant requiring IV antibiotics.

14-year-old client seeking prenatal care.

A 5-year-old child requiring a chest x-ray.

Answer and Explanation

The Correct Answer is A

A. A 15-year-old client who requires an open reduction of a fracture. Minors generally require parental or guardian consent for surgical procedures unless emancipated.
B. A 6-month-old infant requiring IV antibiotics. Informed consent from the guardian is required for medical interventions like IV antibiotics in infants.
C. A 14-year-old client seeking prenatal care. Pregnant minors in many jurisdictions are allowed to consent for their own prenatal care without a guardian's approval.
D. A 5-year-old child requiring a chest x-ray. While routine x-rays require parental consent, in an emergency, consent may not be necessary if immediate care is required to stabilize the child.

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Correct Answer is ["B","C","D","E"]

Explanation

A. Bruises easily. Easy bruising is more commonly associated with hematologic conditions, not brain tumors.
B. Clumsiness. Clumsiness or difficulty with coordination may indicate motor function impairment caused by a brain tumor.
C. Irritability. Irritability can result from increased intracranial pressure (ICP) or other neurological changes due to a brain tumor.
D. Persistent headaches. Persistent headaches, especially those worse in the morning, are a common sign of increased ICP from a brain tumor.
E. Vomiting. Vomiting, particularly without nausea, can occur due to increased ICP.

A. "I will set the temperature of the hot water heater to 140 degrees." B. "I will turn pot handles towards the front of the stove when cooking." C. "I don't need to apply sunscreen to my child if he is outside after 3 p.m." D. “I will plug protective guards into my electrical outlets."

Correct Answer is D

Explanation

A. "I will set the temperature of the hot water heater to 140 degrees." The hot water heater should be set to 120°F (49°C) or lower to prevent scald injuries. A setting of 140°F significantly increases the risk of burns.
B. "I will turn pot handles towards the front of the stove when cooking." Pot handles should be turned toward the back of the stove to prevent a child from grabbing or knocking them over.
C. "I don't need to apply sunscreen to my child if he is outside after 3 p.m." Sunscreen is essential any time a child is outdoors during daylight, regardless of the time, to protect against harmful UV rays.
D. "I will plug protective guards into my electrical outlets." Installing protective guards helps prevent electrical burns by stopping toddlers from inserting objects into outlets.

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A charge nurse on a pediatric unit is reviewing informed consent guidelines with a newly licensed nurse. For which of the following clients should the nurse obtain informed consent from a guardian?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is performing an initial physical examination on a child. The nurse should recognize that which of the following manifestations indicates a possible brain tumor? Select all that apply.

Correct Answer is ["B","C","D","E"]

Explanation

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Correct Answer is D

Explanation

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