A physician orders a blood transfusion for an older client in the hospital. The nurse approaches the client to sign a consent form for the transfusion and finds that the client is confused. The nurse should
A) explain the benefits and burdens of the transfusion, help the client sign the consent, and administer the blood transfusion.
B) administer the blood transfusion; a signed consent form is not absolutely necessary.
C) explain to the client about the ordered blood transfusion, determine the client's willingness to have the transfusion, and inform the client their durable power of attorney will be contacted to sign the consent. Transfuse the blood after the power of attorney gives consent.
D) withhold the blood transfusion until the client's mental status improves and then ask the client to sign the consent.
C
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The school nurse suspects a testicular torsion in a young adolescent student. What action should the nurse take?
a. Place a warm moist pack on the scrotal area. b. Instruct the adolescent to lie down and elevate the legs. c. Refer the adolescent for immediate medical evaluation. d. Suggest that the adolescent wear a scrotum-protecting guard.
Which of the following definitions is an example of malnutrition?
A) Less than 15 percent ideal body weight B) More than 15 percent ideal body weight C) Low protein intake D) All of the above.
The client receives alendronate (Fosamax) as treatment for osteoporosis. Which symptoms, caused by an adverse effect of the medication, does the nurse teach should be reported to the physician?
1. Ringing of the ears 2. Hot and dry skin 3. Vision changes and photophobia 4. Muscle spasms and facial twitching
A nurse is developing a simulation lab to be used for continuing education by the staff. Which statements best describes advantages to using a simulator lab? (Select all that apply.)
A) "Simulation will be easy to implement." B) "Simulation can help promote client safety and optimal outcomes." C) "Simulation allows learning without risk to the client." D) "Simulation is one way to produce higher competency levels." E) "Simulation will reveal which institutions are best at training new nurses."