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. Provide the client with a list of community resources: Important but not the priority. Ensuring the client can perform ADLs independently or with assistance is more urgent.
B. Reinforce teaching about the client's prescribed medications: Necessary but not the priority. Safe medication management should come after addressing functional limitations.
C. Encourage the client to discuss nutritional needs with a dietitian: Important for long-term health but not immediate. ADL support is more critical.
D. Recommend occupational therapy referral for the client: Occupational therapy can address the client's difficulty with ADLs and promote independence, making this the priority.

A. Tell the client's partner the charge nurse can provide the results. B. Tell the client's partner the results of the laboratory tests. C. Tell the client's partner not to worry about the results. D. Tell the client's partner to ask the client about the results.

Correct Answer is D

Explanation

A. Tell the client's partner the charge nurse can provide the results: The charge nurse would still be bound by HIPAA regulations and cannot share the client's information without consent.
B. Tell the client's partner the results of the laboratory tests: Sharing health information without the client’s permission violates HIPAA regulations.
C. Tell the client's partner not to worry about the results: This response dismisses the partner's concerns and does not address the privacy issue.
D. Tell the client's partner to ask the client about the results: This is the appropriate action, as the client has the right to choose whom to share their health information with.

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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

A nurse is preparing to discharge a client who had a cerebrovascular accident and has left-sided weakness. The client is having difficulty completing ADLs. Which of the following is the priority action by the nurse?

Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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