A nurse is assisting with the care of a 17-year-old client who is married and needs to undergo an emergency appendectomy. Which of the following individuals should the nurse ask to sign the informed consent form?
The client
The client's provider
The client's partner
The client's caregiver
The Correct Answer is A
A. The client: A married 17-year-old is considered emancipated in most states and has the legal authority to provide informed consent for their own medical care, including surgery. The nurse should obtain the client’s signature to confirm understanding and voluntary agreement.
B. The client's provider: The provider performs the procedure and is responsible for explaining the risks, benefits, and alternatives, but does not sign the consent on behalf of the client.
C. The client's partner: A spouse or partner does not have legal authority to consent for an emancipated minor unless specifically granted by law, so the partner’s signature is not required.
D. The client's caregiver: A parent or guardian would normally provide consent for a minor, but an emancipated minor has independent legal authority, making caregiver consent unnecessary in this scenario.
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Related Questions
Correct Answer is A
Explanation
A. A hospital volunteer leaves the unit with the newborn to allow caregiver to rest: Hospital volunteers are not authorized to transport newborns, especially off the unit. Removing a newborn without proper clinical authorization represents a significant security risk and requires immediate initiation of a security alert to prevent potential abduction.
B. Another nurse on the unit requests to take the newborn to the nursery to obtain newborn screening: A licensed nurse transporting a newborn for required screening is an expected and appropriate practice. This follows standard hospital protocol and does not indicate a security concern when proper identification procedures are followed.
C. An assistive personnel weighs and bathes the newborn in an empty client room: Assistive personnel may perform routine newborn care under facility policy and nursing delegation. While supervision and proper identification are required, this situation alone does not necessitate a security alert.
D. The caregiver and newborn have matching hospital identification bracelets: Matching identification bands indicate that correct newborn identification procedures are in place. This supports infant safety and does not represent a situation requiring security intervention.
Correct Answer is A
Explanation
A. The weights apply a pulling force continuously: Proper functioning of Buck’s traction requires that the weights hang freely and apply a constant, uninterrupted pulling force. Continuous traction maintains alignment, reduces muscle spasm, and prevents further injury.
B. The boot allows active leg movement: Active movement of the affected leg is restricted in Buck’s traction to maintain proper alignment and traction. Excessive movement can interfere with the traction force and compromise treatment effectiveness.
C. The weights are just touching the floor: Weights should hang freely without touching the floor. Contact with the floor reduces the effective traction force and prevents the system from functioning as intended.
D. The footplate rests against the foot of the bed: The footplate should not rest against the bed, as this can alter alignment and reduce traction effectiveness. Proper positioning requires clear space to allow the traction system to work correctly.
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