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.

Answer and Explanation

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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Correct Answer is ["C","D","F"]

Explanation

Situations that can lead to a tort against a nurse include repeating a rumor about a patient's personal life in a staﬀ meeting, telling friends something unusual about a patient that was noted in the patient's chart, and forcing a patient to take medication against their will. These actions can result in legal action against the nurse for invasion of privacy or battery.

Option A is incorrect because referring a stranger to the patient or their family for details regarding the patient is an appropriate action.

Option Bis incorrect because respecting a patient's right to refuse treatment on religious grounds is an appropriate action.

Option Eis incorrect because placing an alarm on the bed of a patient prone to falling is an appropriate action to ensure their safety.

A. "I feel as though I met the standard of care. Would you tell me more about your concerns?" B. "You must have something against me or you wouldn't be criticizing my care." C. "I am at a loss for words. I always do my best to provide good care to my clients." D. "You shouldn't make accusations. Your nursing care doesn't always set a good example."

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.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which situation can lead to a tort against a nurse? SELECT ALL THAT APPLY:

Correct Answer is ["C","D","F"]

Explanation

A nurse tells another nurse that she thinks that he did not provide adequate care for a client who underwent a hip arthroplasty earlier that day. Which of the following responses by the accused nurse demonstrates assertiveness?

Correct Answer is A

Explanation

A nurse is assisting with the care of a group of pediatric clients. Which of the following actions should the nurse take first?

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