A nurse is reviewing the plan of care for a group of clients. The nurse should identify that informed consent is required for which of the following procedures?

Irrigation of a wound with antibiotic solution

Insertion of a nasogastric tube

Placement of a central venous catheter

Administration of an iron injection using Z-track technique

Answer and Explanation

The Correct Answer is C

A.   Incorrect. Irrigation of a wound with antibiotic solution typically does not require informed consent.
B.   Incorrect. Insertion of a nasogastric tube does not usually require informed consent unless it involves specific risks or is part of a research protocol.
C.   Correct. Placement of a central venous catheter is an invasive procedure that involves risks, and informed consent is usually required.
D.   Incorrect. Administration of an iron injection using the Z-track technique is a routine procedure and does not usually require informed consent.

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Correct Answer is C

Explanation

A. Incorrect. A urine output of 300 ml over 8 hours is within the expected range for a postoperative client and does not require immediate reporting.
B. Incorrect. Occasional small clots in the urine are common in the immediate postoperative period following a transurethral resection of the prostate and do not necessarily require immediate reporting.
C. Correct. Dark red urine can indicate bleeding and may be a sign of hemorrhage. This finding should be reported to the provider for further assessment and intervention.
D. Incorrect. A frequent urge to urinate is expected following a transurethral resection of the prostate, as irritation and swelling can occur in the immediate postoperative period.

A. Discarding worksheets containing client information in a wastebasket B. Writing a client's diagnosis on the message board in the client's room C. Giving change of shift report to a nurse outside the client's room D. Discussing a client's prognosis with an assistive personnel who is caring for the client

Correct Answer is D

Explanation

A. Discarding worksheets containing client information in a wastebasket does not ensure proper disposal of confidential information and could compromise confidentiality.
B. Writing a client's diagnosis on the message board in the client's room could breach confidentiality, as it could potentially be seen by unauthorized individuals.
C. The best practice is to provide bedside report, which involves the patient in their care and promotes transparency. This approach ensures that the patient's condition and care plan are communicated accurately and directly.
D. Assistive personnel (AP) are part of the care team, and discussing the client's prognosis with them is appropriate as long as they have a need to know the information for providing proper care.

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A nurse is reviewing the plan of care for a group of clients. The nurse should identify that informed consent is required for which of the following procedures?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who is 1 day postoperative following a transurethral resection of the prostate. Which of the following findings should the nurse report to the provider?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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