Prior to an invasive examination of a hospitalized client, a consent form should be obtained. Which action best describes the responsibility of the practical nurse (PN)?

Explains the examination and asks the client to sign the consent form.

Obtains the medical record for the correct signed consent form prior to the examination.

Asks if the client understands the exam and why the consent form must be signed.

Witnesses the client's signature on the consent form after it is explained by the provider.

Answer and Explanation

The Correct Answer is D

This is the best action that describes the responsibility of the PN because it ensures that the client has given informed consent for the invasive examination and that the consent form is valid and documented. The PN should verify that the provider has explained the examination, its risks and benefits, and alternative options to the client and that the client has agreed to proceed.

A. Explaining the examination and asking the client to sign the consent form is not the responsibility of the PN but of the provider who will perform the examination.

B. Obtaining the medical record for the correct signed consent form prior to the examination is not enough to ensure informed consent and may not involve any interaction with the client.

C. Asking if the client understands the exam and why the consent form must be signed is not enough to ensure informed consent and may not address any questions or concerns that the client may have.

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Correct Answer is B

Explanation

Choice A rationale:
Asking another nurse about administering adult dosages to children may provide some insights, but it is not a reliable or definitive source of information. The PN should directly communicate with the healthcare provider who wrote the prescription to ensure accuracy and safety.
Choice B rationale:
Call the healthcare provider and clarify the prescription.
Choice C rationale:
While requesting verification from the charge nurse is reasonable, the charge nurse may not have the authority to change or clarify the prescription. The most appropriate action is to directly contact the healthcare provider responsible for the child's care.
Choice D rationale:
Telling the pharmacy to send an accurate child's dosage assumes that the pharmacy made an error, which may not be the case. The PN should confirm the prescription with the healthcare provider to avoid potential mistakes or misunderstandings.

A. Monitor the client's temperature hourly. B. Offer the client fluids frequently. C. Provide care to moisten oral mucosa. D. Report the findings to the charge nurse.

Correct Answer is D

Explanation

Correct Answer: D. Report the findings to the charge nurse.

Choice A rationale:

Monitoring the client's temperature hourly may be indicated if the client's condition deteriorates or if there are specific concerns about fever. However, the temperature of 99.8°F (37.66°C) is not significantly elevated and may not be the primary concern in this situation.

Choice B rationale:

Offering the client fluids frequently is a good nursing practice, but it is not the most important intervention in this case. The client's nonproductive cough and increased confusion need to be addressed and reported first.

Choice C rationale:

Providing care to moisten oral mucosa is important for maintaining oral health and preventing dryness and discomfort. However, it may not directly address the client's current symptoms of cough and confusion.

Choice D rationale:

Reporting the findings to the charge nurse is the most crucial intervention. The client's nonproductive cough and increased confusion may be indicative of an underlying issue, such as a respiratory infection or a change in neurological status. The charge nurse can initiate further assessments, notify the healthcare provider, and implement appropriate interventions to address the client's condition promptly. Timely reporting and communication are essential to ensure the client receives appropriate care.

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Prior to an invasive examination of a hospitalized client, a consent form should be obtained. Which action best describes the responsibility of the practical nurse (PN)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The practical nurse (PN) believes that a prescription for a child is incorrect because the dosage prescribed is the usual adult dosage. Which action should the PN take?

Correct Answer is B

Explanation

Correct Answer is D

Explanation

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