A 12-year-old pediatric client is in need of surgery. The health care member who is legally responsible for obtaining informed consent for an invasive procedure is the:
1. Nurse.
2. Social worker.
3. Unit secretary.
4. Physician.
4
Rationale 1: A nurse cannot legally obtain informed consent for a procedure but can witness the signature on the consent form.
Rationale 2: A social worker is not responsible for obtaining informed consent for an invasive procedure.
Rationale 3: The unit secretary cannot obtain or sign as a witness for an informed consent document.
Rationale 4: Informed consent is legal preauthorization for an invasive procedure. It is the physician's legal responsibility to obtain this because it consists of an explanation about the medical condition, a detailed description of treatment plans, the expected benefits and risks related to the proposed treatment plan, alternative treatment options, the client's questions, and the guardian's right to refuse treatment.
Global Rationale:
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The nurse is teaching parents of a 3-year-old child about language developmental milestones. What milestones should the nurse include in the teaching session? (Select all that apply.)
a. Asks many questions b. Names one or more colors c. Repeats sentence of six syllables d. Uses primarily "telegraphic" speech e. Has a vocabulary of 1500 words or more
A hospitalized client complains of fatigue, vision changes, and a significant headache. Which assessment finding would support a diagnosis of hypertension?
1. A retinal exam finding by the health care provider of microaneurysms and hard exudates 2. Blood pressure reading of 110/78 3. A one-time blood pressure reading of 140/99 4. Crackles bilaterally in all lung fields
The nurse instructs the client on mixing NPH and regular insulin in the same syringe. Rank the client teaching in the order the client should follow to ensure accurate dosing
1. Withdraw the NPH insulin. 2. Withdraw the regular insulin. 3. Remove air bubbles for correct dose. 4. Calculate the combined total volume of insulin. 5. Inject air equal to the NPH insulin volume into the vial. 6. Inject air equal to the regular insulin volume into the vial.
The corresponding author is not necessarily the same as the lead author
A) True B) False