A client who is unconscious and has extensive internal injuries arrives via ambulance to the emergency department. The staff cannot reach the client's family. Which of the following permits the staff to proceed with emergency surgery?

Good Samaritan Act

Nonmaleficence

Living will

Implied consent

Answer and Explanation

The Correct Answer is D

A. The Good Samaritan Act provides legal protection to individuals who assist those who are injured or in danger but does not specifically apply to emergency medical procedures performed by healthcare providers.

B. Nonmaleficence refers to the ethical principle of doing no harm, which supports the need for treatment but does not provide the legal basis for proceeding without consent.

C. A living will outlines a person's wishes regarding medical treatment in the event they become unable to communicate, but it does not specifically grant permission for emergency surgery when the individual is unconscious.

D. Implied consent is applicable in emergency situations where the patient is unable to give consent, and it is assumed that they would consent to necessary life-saving procedures, such as emergency surgery.

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Correct Answer is A

Explanation

A. Measuring the client's vital signs is the first step to assess the client's current physical status and determine if any physiological issues are contributing to confusion and agitation.

B. Offering reassurance to the family is supportive but does not address the immediate needs of the confused and agitated client.

C. Reorienting the client is helpful but should occur after ensuring that there are no underlying medical issues indicated by vital sign changes.

D. Medicating the client with alprazolam may be necessary if agitation is severe, but it should not be the first action taken before assessing the client's vital signs.

A. Change total parenteral nutrition IV tubing every 48 hr. B. Change peripheral IV primary tubing every 96 hr. C. Replace peripheral IV solution bags every 96 hr. D. Replace total parenteral nutrition solution bags every 48 hr.

Correct Answer is B

Explanation

A. Changing total parenteral nutrition (TPN) tubing every 48 hours is incorrect. According to most guidelines, TPN tubing should be changed every 24 hours to reduce the risk of infection.

B. Changing peripheral IV primary tubing every 96 hours is a recommended practice in many healthcare settings. It balances infection prevention with cost-effectiveness and is widely accepted for maintaining IV line sterility.

C. Replacing peripheral IV solution bags every 96 hours would not be appropriate, as IV fluid bags should typically be replaced every 24 hours to prevent bacterial contamination.

D. Replacing TPN solution bags every 48 hours is not advisable, as TPN solutions should be replaced every 24 hours to minimize infection risks associated with high-sugar content solutions.

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A client who is unconscious and has extensive internal injuries arrives via ambulance to the emergency department. The staff cannot reach the client's family. Which of the following permits the staff to proceed with emergency surgery?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a long-term care facility is assessing a client who has returned from an acute care facility following a brief illness. The nurse observes that the client is confused and agitated. Which of the following actions should the nurse take first?

Correct Answer is A

Explanation

A nurse is serving on a committee whose task is to plan cost-effective care at the facility. Which of the following client care tasks should the nurse recommend?

Correct Answer is B

Explanation

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