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 A

Explanation

A. Advance directives: Advance directives may contain information about the client's wishes for organ donation, along with other end-of-life preferences.
B. Informed consent: Informed consent is related to specific treatments or procedures and does not address organ donation.
C. Provider's prescription: Providers do not write prescriptions for organ donation; it is a legal decision made by the client.
D. Do-not-resuscitate (DNR) order: A DNR order only indicates that no resuscitation should be attempted in the event of cardiac or respiratory arrest.

A. Taking the vital signs of a client who is experiencing acute angina B. Collecting a urine specimen from a client who is experiencing dysuria C. Answering a telephone inquiry about NPO status from a client who is scheduled for a procedure D. Reinforcing teaching with a client about stool specimen collection

Correct Answer is B

Explanation

A. Taking the vital signs of a client who is experiencing acute angina. Acute angina is a potentially unstable condition requiring assessment by a nurse.
B. Collecting a urine specimen from a client who is experiencing dysuria. APs can perform routine specimen collection tasks.
C. Answering a telephone inquiry about NPO status from a client who is scheduled for a procedure. Only licensed nurses should provide pre-procedure instructions.
D. Reinforcing teaching with a client about stool specimen collection. Reinforcement of teaching involves assessment and evaluation, which are the nurse’s responsibilities.

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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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