The nurse is caring for a patient who has just signed an informed consent to be included in a research study for an experimental medication
The patient tells the nurse that she really doesn't want to be part of this study, but her doctor was so excited about the possibilities and talked so ideologically about how her participation could help all of mankind that she felt she couldn't decline to participate. What is the nurse's priority action?
1.
Reassure the patient that she did the right thing.
2.
Inform the physician the patient signed the consent under duress.
3.
Document the patient's statement in the medical record.
4.
Maintain the patient's confidentiality by not telling anyone what she said.
ANS: 2
It is the nurse's responsibility to inform the physician that the patient signed the consent because she felt she had to, which is a form of duress. This puts the nurse in the role of advocating for the patient.
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The nurse is planning care for a pregnant patient prone to substance abuse. When the patient states, "My baby isn't getting my drugs, I am," how does the nurse respond?
1. "Most illicit drugs will cross the placenta and hurt the baby." 2. "Even drugs that do not cross the placenta can hurt your baby by preventing nutrients from getting across the placenta." 3. "Research shows taking drugs can cause your baby to be born too early." 4. "You are correct. You are far enough along in your pregnancy that drugs will not harm your baby." 5. "If you continue to take drugs, it will make you have a very irritable infant."
A family with children has too high of an income to qualify for state health insurance, but does not have enough money to purchase private health insurance. Which program would a nurse refer this family to for the children to receive health care coverage?
a. Medicare b. Children's Health Insurance Plan (CHIP) c. Medicaid d. Social Security
You should monitor the skin closely in patients with paralysis because
A. their skin is very dry and thin. B. these patients are often emaciated. C. they cannot feel pain and pressure. D. the patient has numbness and tingling.
After teaching a home caregiver how to manage a pressure ulcer, the nurse realizes that further education is needed when the caregiver says:
a. "I will be sure to reposition her frequently and keep her off of the pressure ulcer." b. "I will wash the pressure ulcer with saline and report any changes in the drainage." c. "I know that a thick, black covering will protect the pressure ulcer from getting worse." d. "I will let you know if the pressure ulcer starts to smell rotten."