A nurse takes informed consent from a client scheduled for abdominal surgery. Which of the following is the most appropriate principle behind informed consent?
a) Protects the client's right to self-determination in health care decision making.
b) Helps the client refuse treatment that he or she does not wish to undergo.
c) Helps the client to make a living will regarding future health care required.
d) Provides the client with in-depth knowledge about the treatment options available.
Answer: a) Protects the client's right to self-determination in health care decision making.
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clinic nurse notes the client is grimacing and seems to be constantly smacking her lips. Her neck and shoulders twist in a slow, snakelike motion. The nurse should suspect the presence of a. agranulocytosis. b. tardive dyskinesia. c. Tourette's syndrome. d. anticholinergic effects.
Prepare a 300 mg dose from a label reading 300 mg/5mL
What will be an ideal response?
A patient tells the nurse that he is recently unemployed and has fears that he will never find another job. The nurse recognizes this patient's internal stressor as being:
1. All-or-nothing thinking. 2. Denial. 3. A catastrophic event. 4. A realistic expectation.
When assessing a client's I.V. insertion site, a nurse notes normal color and temperature at the site and no swelling. However, the I.V. solutions haven't infused at the ordered rate; the flow rate is slow even with the roller clamp wide open. When the nurse lowers the I.V. fluid bag, no blood returns to the tubing. What should the nurse do first?
a) Discontinue the I.V. infusion at that site and restart it in the other arm. b) Irrigate the I.V. tubing with 1 ml of normal saline solution. c) Elevate the I.V. fluid bag. d) Check the tubing for kinks and reposition the client's wrist and elbow.