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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The response by the accused nurse that demonstrates assertiveness is "I feel as though I met the standard of care. Would you tell me more about your concerns?" This response shows that the nurse is confident in their actions and is willing to listen to the concerns of the other nurse in a respectful and professional manner.
Option B is incorrect because it is defensive and does not address the concerns of the other nurse.
Option C is incorrect because it does not demonstrate assertiveness or confidence in the nurse's actions.
Option D is incorrect because it is confrontational and does not address the concerns of the other nurse in a respectful and professional manner.
Correct Answer is A
Explanation
The charge nurse is demonstrating the right of supervision by checking with other nursing personnel on the unit throughout the day to determine if they are completing tasks. This means that the charge nurse is providing appropriate supervision and monitoring of the delegated tasks to ensure that they are being completed correctly and that the client's needs are being met.
Option B is incorrect because it refers to ensuring that the circumstances are appropriate for delegation.
Option C is incorrect because it refers to delegating tasks to the right person who has the appropriate skills and knowledge to complete them.
Option D is incorrect because it refers to clear communication between the delegator and delegatee about the task being delegated.
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