A 17-year-old male has presented to the emergency department with appendicitis. He speaks English, but his mother speaks Spanish. The mother needs to sign a consent for emergency sur-gery, because the patient is a minor
Which of the following is the most appropriate method of obtaining consent? a. No consent is needed because of the emergency nature of the surgery.
b. Have the patient sign the consent because he understands the explanation from the surgeon.
c. Have the patient's sister explain the pro-cedure in Spanish, but ask the mother to sign the Spanish consent form.
d. Obtain an interpreter to explain the pro-cedure to the patient and mother in Span-ish, and ask her to sign a Spanish consent form.
D
According to the Office of Minority Health (2007) in the USDHHS, the National Standards on Culturally and Linguistically Appropriate Services (CLAS) state that health care organizations must offer and provide language assistance services, including bilingual staff and interpreter ser-vices, at no cost to each patient/consumer with limited English proficiency at all points of contact, in a timely manner during all hours of operation. Therefore, because the patient is a minor, the legal parent must understand the procedure in her native language.
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A laboratory technician arrives to draw blood for a complete blood count (CBC) for a client who had a right-sided mastectomy 8 hours ago. The client has an intravenous line with fluid infusing in her left antecubital space
To perform the test, the technician places a tourniquet on the client's right arm. Which action would be most appropriate for the nurse to do? A) Assist in holding the client's arm still. B) Suggest a finger stick be done on one of the client's left fingers. C) Tell the technician to obtain the blood sample from the client's right arm. D) Call the surgeon to perform a femoral stick on the client.
Which strategy is most effective in empowering staff?
A) Serve as a role model of an empowered nurse. B) Develop more rigid, consistent rule enforcement. C) Give all employees an annual cost-of-living raise. D) Encourage staff to establish a strong unit culture with turf boundaries.
Which of the following questions asked by the nurse when taking a patient's health history would collect data about infection control?
A) "Tell me what you eat in each 24-hour period." B) "Do you sleep well and wake up feeling healthy?" C) "What were the causes of death for your family members?" D) "When did you complete your immunizations?"
List at least six things you will monitor to assess C.W.'s fluid balance
What would be monitored?