A nurse is preparing to obtain consent from a client who has a tibia fracture. The client received IV morphine sulfate prior to arrival on the unit and is scheduled for surgery. Which of the following actions should the nurse take?
Obtain consent from the client.
Acknowledge the client and sign the consent.
Obtain consent from a relative of the client.
Delay the procedure.
The Correct Answer is D
If a client has received IV morphine sulfate prior to arrival on the unit and is scheduled for surgery, the nurse should delay the procedure. This is because the client may not be able to give informed consent due to the effects of the medication.
Option A may not be appropriate if the client is not able to give informed consent.
Option B is not appropriate as it is not within the nurse's scope of practice to sign consent on behalf of a client.
Option C may be necessary if the client is unable to give informed consent and a relative is available to provide consent.
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Related Questions
Correct Answer is A
Explanation
The first action the nurse should take is to collect data on the client. This includes assessing the client's condition and vital signs to determine if they require immediate medical attention.
Option b may not be appropriate without first assessing the client's condition.
Option c may be necessary after collecting data on the client, but it should not be the first action taken.
Option d may also be necessary, but it should not be the first action taken.
Correct Answer is D
Explanation
If a client is concerned about her privacy during a urinary catheterization procedure, the nurse should close the door and cover the client during the procedure. This action helps to maintain the client's privacy and dignity.
Option A may also be helpful in alleviating the client's concern by providing information about the procedure.
Option B may also be helpful in ensuring that the procedure is performed efficiently.
Option C may not be necessary if the client is not resistant to the procedure.
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