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 ["B","E","F","G","H"]

Explanation

A. The oxygen saturation is within normal range hence no need to evaluate further
B. Weight: The client has reported a significant weight loss of 2.26 kg (5 lbs.) over the past week. Unintentional weight loss can be a concerning symptom and may require further assessment.
C. Heart rate: The client's heart rate is within range.
D. Blood pressure is within normal range
E. The temperature is slightly elevated and indicates a need for further evaluation.
F. Sputum characteristics: The client reports "blood-tinged sputum." Coughing up blood in the sputum, known as hemoptysis, is a potentially serious symptom that warrants further evaluation to determine its cause.
G. Respiratory complaint: The client presents with a 4-day history of cough, often productive, along with other respiratory symptoms such as fatigue, night sweats, and a low-grade fever. These respiratory complaints require further evaluation to identify the underlying cause.
H. Travel history: The client recently traveled to South Africa and stayed for 3 weeks.
Travel history is important in assessing potential exposure to infectious diseases or other environmental factors that could contribute to the client's symptoms.

A. Justice B. Autonomy C. Veracity D. Beneficence

Correct Answer is C

Explanation

A. Incorrect. Justice refers to fairness and equitable treatment of clients. While important, it does not specifically pertain to the nurse's communication about medication adverse effects.
B. Incorrect. Autonomy refers to the client's right to make decisions about their own care and treatment. While truthfully communicating about medication's adverse effects supports autonomy, veracity is the ethical concept specifically related to truthfulness.
C. Correct. Veracity is the ethical concept of truthfulness and honesty in communication. When the nurse communicates truthfully about the potential adverse effects of the medications, they are demonstrating veracity.
D. Incorrect. Beneficence refers to the duty to do good and promote the well-being of the client.
While important, it is not the ethical concept specifically related to truthful communication about medication's adverse effects.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is assisting in the care of a client who presents to the emergency department. Exhibits A nurse is reviewing the client's medical record, which of the following findings indicates the need for further evaluation? Select all that apply.

Correct Answer is ["B","E","F","G","H"]

Explanation

A nurse is caring for a client who has been admitted to the mental health unit. While reinforcing teaching about the client's prescribed medications, the nurse communicates truthfully about the adverse effects of the medications. Which of the following ethical concepts is the nurse exhibiting?

Correct Answer is C

Explanation

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