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 B

Explanation

A. Perform a specific nursing task for a group of clients: This approach aligns more with functional nursing, not total patient care.
B. Provide complete care for a caseload of clients: In total patient care, the nurse is responsible for all aspects of care for a specific group of clients during their shift.
C. Receive cross-training in multiple departments: Cross-training is related to float pool or department-specific training, not the care delivery method.
D. Delegate low-skilled tasks to assistive personnel: While delegation may occasionally occur, the focus in total patient care is on the nurse providing direct care.

A. Elevate the head of the client's bed to 45" during meals. B. Request a speech therapist consult from the provider. C. Instruct the client to tilt their head back when swallowing. D. Administer liquids to the client using a syringe.

Correct Answer is B

Explanation

A. Elevate the head of the client's bed to 45° during meals: The head should be elevated to 90° to reduce the risk of aspiration during meals.
B. Request a speech therapist consult from the provider: Speech therapists can assess swallowing difficulties and recommend appropriate strategies.
C. Instruct the client to tilt their head back when swallowing: This position increases the risk of aspiration by opening the airway during swallowing.
D. Administer liquids to the client using a syringe: Syringe administration can lead to choking or aspiration and is not a standard feeding practice for dysphagia clients.

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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.)

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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