A nurse in the emergency department is assessing a client who is unconscious following a motor-vehicle crash. The client requires immediate surgery. Which of the following actions should the nurse take?

Obtain telephone consent from the facility administrator before the surgery.

Delay the surgery until the nurse can obtain informed consent.

Ask the anesthesiologist to sign the consent.

Transport the client to the operating room without verifying informed consent.

Answer and Explanation

The Correct Answer is D

A.   Telephone consent from the facility administrator might not be sufficient for the specific informed consent required for surgery on an unconscious client.
B.   Delaying surgery to ensure proper informed consent is obtained is not appropriate since the client is in a critical condition and delaying surgery might cause death.
C.   Asking the anesthesiologist to sign the consent is not appropriate as the responsibility for obtaining informed consent typically lies with the surgeon or responsible provider.
D.   Transporting the client to the operating room without informed consent is appropriate in emergency situations where the client is unconscious.

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Correct Answer is A

Explanation

A. Telehealth often facilitates communication between healthcare providers, enabling consultations, collaboration, and information exchange regardless of physical location.
B. While telehealth can involve assessment components, its primary objective isn't specifically focused on assessing client needs.
C. Medication reconciliation is an important aspect of healthcare but might not be the primary objective of telehealth.
D. Developing client treatment protocols is more related to clinical decision-making and might not be the primary objective of telehealth, which often centers around communication and
remote care delivery.

A. Inform the unit manager of the incident. B. Speak with the AP about the incident. C. Remove the restraints from the client's wrists. D. Review the chart for nonrestraint alternatives for agitation,

Correct Answer is C

Explanation

A. Informing the unit manager is essential but not the first immediate action when a client is improperly restrained.
B. Speaking with the AP about the incident is important, but the priority is to ensure the client's safety and well-being.
C. Removing the restraints from the client's wrists is the first action to address the
inappropriate application of restraints without a prescription to ensure the client's safety and prevent harm.
D. Reviewing the chart for nonrestraint alternatives for agitation is important, but the priority is to address the immediate issue of the improperly applied restraints to the client.

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A nurse in the emergency department is assessing a client who is unconscious following a motor-vehicle crash. The client requires immediate surgery. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in an ambulatory care setting is orienting a newly licensed nurse who is preparing to return a call to a client. The nurse should explain that which of the following is an objective of telehealth?

Correct Answer is A

Explanation

A charge nurse making rounds observes that an assistive personnel (AP) has applied wrist restraints to a client who is agitated and does not have a prescription for restraints. Which of the following actions should the nurse take first?

Correct Answer is C

Explanation

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