The nurse is coordinating a clinical research trial with pediatric clients. From which clients should the nurse seek assent to participate in the research? Select all that apply
1. A 9-year-old client who qualifies to test a medication for muscular dystrophy
2. A precocious 4-year-old starting as a participant in a cystic fibrosis research study
3. A 10-year-old starting in an investigative study for clients with precocious puberty
4. A 7-year-old client with leukemia who has elected to receive a newly developed trial medication
5. A 13-year-old client beginning participation in a research program for attention deficit/hyperactivity disorder (ADHD) treatments
1, 3, 4, 5
Explanation:
1. Federal guidelines mandate that research participants 7 years old and older must receive developmentally appropriate information about healthcare procedures and treatments, and give assent.
2. The 4-year-old patient would qualify since the age of assent is 7 years old.
3. Federal guidelines mandate that research participants 7 years old and older must receive developmentally appropriate information about healthcare procedures and treatments, and give assent.
4. Federal guidelines mandate that research participants 7 years old and older must receive developmentally appropriate information about healthcare procedures and treatments, and give assent.
5. Federal guidelines mandate that research participants 7 years old and older must receive developmentally appropriate information about healthcare procedures and treatments, and give assent.
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A woman is in the family planning clinic to learn about her cycle and the best times to get pregnant. What information should the nurse plan to teach her?
A. An ovum can be fertilized for 12 to 24 hours after ovulation. B. Pregnancy can only occur during the follicular phase. C. There are no physiological signs that demonstrate ovulation. D. You can't easily get pregnant if your cycles are irregular.
A nurse is preparing to administer phenytoin to a client. The nurse understands the need to administer this drug cautiously if the client has a history of which of the following? Select all that apply
A) Hyperthyroidism B) Hypotension C) Diabetes D) Asthma E) Hepatic impairment
The nurse instructs a pregnant patient on ways to reduce unintentional injuries while pregnant. Which patient statement indicates that teaching has been effective?
A) "I should clean a puncture wound with cold water.". B) "I should wear a seat belt when in a motor vehicle at all times.". C) "I should lie down and rest if someone kicks or punches my abdomen.". D) "I should flush an animal bite with warm water and then wash with soap.".
A nurse working in a rural area is convinced of the benefits of using telehealth to improve patient outcomes. What action by the nurse would be best to ensure the availability of telehealth services to all those who need them?
a. Advocate for federal legislation requiring third-party reimbursement for services. b. Become certified in telehealth nursing by the telehealth resource center (TRC). c. Provide education for small, rural facilities and their staffs on telehealth practice. d. Work to ensure telehealth centers have specific policies on confidentiality.