A nurse is caring for a group of clients in a medical-surgical unit. The nurse should ensure that the client has signed an informed consent form prior to which of the following procedures? (Select all that apply.)

Inserting an indwelling urinary catheter

Receiving moderate sedation

Inserting a peripheral IV catheter

Suctioning a tracheostomy tube

Undergoing cardiac catheterization

Answer and Explanation

Correct Answer : B,E

A.   Inserting an indwelling urinary catheter: This is a routine procedure that does not require informed consent.
B.   Receiving moderate sedation: Moderate sedation involves the risk of respiratory depression and other complications, necessitating informed consent.
C.   Inserting a peripheral IV catheter: Routine IV insertion does not require formal informed consent.
D.   Suctioning a tracheostomy tube: Suctioning is a standard care procedure that does not require informed consent.
E.   Undergoing cardiac catheterization: Cardiac catheterization is an invasive diagnostic or therapeutic procedure with potential risks, requiring informed consent.

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Correct Answer is D

Explanation

A. Makes reference in the nurses' notes of completing an incident report. Incident reports are internal documents and should not be referenced in the client's medical record.
B. Documents that the provider wrote an inaccurate prescription. Documentation should focus on facts, not subjective judgments. Notify the provider instead.
C. Remains logged in to the charting system throughout the shift. Leaving the system open poses a risk for a breach of confidentiality.
D. Includes quotes from the client. Documenting direct quotes ensures accurate representation of the client's statements.

A. "I will use a Class A extinguisher for an electrical fire." B. "I should spray the extinguisher from side to side on the fire." C. "I will attempt to extinguish the fire before calling the fire department." D. "I should change the batteries in my smoke alarms every 2 years."

Correct Answer is B

Explanation

A. "I will use a Class A extinguisher for an electrical fire." Class A extinguishers are for fires involving wood, paper, and cloth, not electrical fires. Class C is appropriate for electrical fires.
B. "I should spray the extinguisher from side to side on the fire." This technique is recommended to ensure the fire is completely extinguished.
C. "I will attempt to extinguish the fire before calling the fire department." The fire department should be called immediately to ensure prompt response, even if the fire appears controllable.
D. "I should change the batteries in my smoke alarms every 2 years." Batteries in smoke alarms should be changed at least once a year or as recommended by the manufacturer.

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A nurse is caring for a group of clients in a medical-surgical unit. The nurse should ensure that the client has signed an informed consent form prior to which of the following procedures? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse is reviewing the computer documentation of a newly licensed nurse. Which of the following practices by the newly licensed nurse should the charge nurse identify as appropriate documentation practice?

Correct Answer is D

Explanation

A nurse is assisting in a client education class for fire safety in the home. Which of the following statements by a client indicates an understanding of the teaching?

Correct Answer is B

Explanation

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