A nurse is caring for a client who has a prescription for transcutaneous electrical nerve stimulation (TENS). Which of the following members of the interdisciplinary team should the nurse contact for assistance?

Physical therapist

Occupational therapist

Respiratory therapist

Pharmacist

Answer and Explanation

The Correct Answer is A

A.   A physical therapist can assist with the proper application and usage of transcutaneous electrical nerve stimulation (TENS) for pain management, providing guidance on its use and techniques for optimal outcomes.
B.   Occupational therapists focus more on functional activities related to daily living.
C.   Respiratory therapists specialize in respiratory care.
D.   Pharmacists primarily handle medication-related concerns and may not specifically assist with TENS therapy.

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Correct Answer is C

Explanation

A. While religious beliefs may influence a client's decision, they are not the deciding factor. Clients have the right to refuse treatment regardless of the reason, as long as they are competent and informed.

B. The partner’s role as the durable power of attorney for health care is only relevant if the client is unable to make decisions due to incompetence or incapacitation. If the client is competent, their decision takes precedence over the wishes of their partner or any legal proxy.

C. Ensuring the client understands the risks of refusing the procedure is the deciding factor. A competent client has the right to refuse any medical treatment, including surgery, after being informed of the potential consequences. The nurse and provider must ensure the client’s decision is informed and voluntary.

D. The facility ethics committee may provide guidance in complex cases, but they do not override a competent client’s autonomy. The client’s informed decision is the ultimate determinant in whether the surgery is performed.

A. Obtain telephone consent from the facility administrator before the surgery. B. Delay the surgery until the nurse can obtain informed consent. C. Ask the anesthesiologist to sign the consent. D. Transport the client to the operating room without verifying informed consent.

Correct Answer is D

Explanation

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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A nurse is caring for a client who has a prescription for transcutaneous electrical nerve stimulation (TENS). Which of the following members of the interdisciplinary team should the nurse contact for assistance?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a tumor. The provider recommends surgery. The client refuses, but the client's partner wants the surgery performed. Which of the following is the deciding factor in determining if the surgery will be done?

Correct Answer is C

Explanation

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?

Correct Answer is D

Explanation

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