The nurse receives an order from the physician to obtain the client's signature on an informed consent that has been completed and placed on the chart
The nurse asks the client and family if they have any questions about the procedure, and they say "no." The client signs the consent, and the nurse signs on the witness line, knowing that the signature implies: A) the client and family fully understand what is to be done during the procedure. B) the client and family have been fully informed about the procedure. C) the family and client are fully informed of alternative options to the procedure, potential complications, what is to done, and who will perform the procedure. D) the nurse witnessed that it was signed by the client.
D
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An older woman has been receiving enteral feeds by nasogastric (NG) tube for the past several days due to a decrease in her level of consciousness. How can the nurse best assess the patient's tolerance of the current formula and rate of delivery?
A) Carefully document the number and consistency of bowel movements. B) Aspirate and measure the stomach contents on a regular basis. C) Monitor the patient's skin turgor and the color of her sclerae. D) Perform regular chest auscultation and monitor her oxygen saturation levels.
A client drinks one-half cup of orange juice, which contains 15 g of carbohydrate. The nurse determines that the client has ingested how many kilocalories?
1. 15 2. 25 3. 60 4. 90
Which statement made by a client newly prescribed a beta-adrenergic blocker should the nurse be concerned about?
A. "I don't handle stress well; I have a lot of diarrhea." B. "When I have a migraine headache, I need to have the room darkened." C. "My father died of a heart attack when he was 48 years old." D. "I have always had problems with my asthma."
When describing the importance of documenting initial assessment data to a group of new nurses, which of the following would the nurse emphasize as the primary reason?
A) Health care institutions have established policies regarding documentation. B) Incorrect conclusions may be made without documentation of initial data. C) It satisfies legal standards established by health care organizations and institutions. D) It becomes the foundation for the entire nursing process.