The physician notes that an unconscious patient brought to the emergency room needs emergency surgery. No family members are present, and the patient does not have identification

Which of the following actions by the nurse is most important regarding obtaining consent to examine and treat the patient?
A) Ask the social worker to come and sign the consent.
B) Contact the police to obtain the patient's identity.
C) Obtain a court order to treat the patient.
D) Document in the patient's chart the level of consciousness and health status of patient.


Ans: D
Feedback: When a patient is unconscious and in critical condition, the level of consciousness and health status of the patient should be documented so that treatment can be quickly administered when consent cannot be obtained by usual routes.

Nursing

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The nurse is taking a detailed assessment of a male patient who states, "The doctor has already asked me all these questions. Why are you repeating them?" What is the nurse's best response?

A) "Taking this history allows us to determine what your needs may be for nursing care." B) "You are right; this may seem redundant." C) "I want to make sure your doctor has covered everything." D) "I am a member of your health care team."

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The teaching plan for a 22-year-old woman on Avandia (rosiglitazone) would include a caution relative to:

1. decreased effectiveness of her birth control pills. 2. excessive exposure to the sun. 3. sudden drop in blood pressure with dizziness. 4. possible severe diarrhea.

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When reviewing a research report, the nurse determines that all aspects of a study systematically and logically follow from the research problem. Which condition has been met?

a. Accuracy b. Feasibility c. Internal validity d. External validity

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Which complication of insulin therapy is characterized by a rapid decrease in serum glucose, usually at night, causing the release of glucose-elevating hormones and an elevated glucose level in the morning, which may be inadvertently treated with an

increased insulin dose? a. dawn phenomenon c. lipodystrophy b. insulin resistance d. Somogyi phenome-non

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