You are the emergency-department nurse caring for an 11-year-old brought in by ambulance after having been hit by a car. The child's parents are in route to the hospital but have not yet arrived

No other family members are present. The child needs emergency surgery to save her life. How would you obtain consent for the surgery?
A) By telephone
B) By fax
C) Surgery is done without informed consent
D) Surgery is delayed until the parent's arrival


Ans: C
Feedback: In an emergency, it may be necessary for the surgeon to operate as a lifesaving measure without the patient's informed consent. However, every effort must be made to contact the patient's family. In such a situation, contact can be made by telephone, fax, or other electronic means. In this scenario, the surgery is considered lifesaving, and the parents are on their way to the hospital and not available by telephone or fax. This makes options A and B incorrect. Option D is incorrect because it risks the child's life.

Nursing

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A nurse is working with a client who was admitted for treatment of bipolar disorder. The client asks the nurse if it is "OK" to pray for recovery. Which response best conveys the nurse's ability to be a spiritual activist for the client?

1. "Clients in psychiatric hospitals often experience spiritual crises that require prayer." 2. "It's acceptable for clients to pray in the hospital chapel." 3. "Spiritual practices, such as praying, can nurture one's spirit and enhance healing." 4. "It's not advisable to focus only on prayer as a means to recovery."

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The student using the FICA Spiritual Health Assessment will consider which factors? (Select all that apply.)

a. Faith and belief b. Focused practices c. Importance of faith d. Faith community involvement e. Address spirituality in care

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Which of the following does not necessarily belong as a component of culturally competent care?

a. cultural awareness c. cultural organizations b. cultural knowledge d. cultural desire

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The approximate total blood volume of a 60-pound child is:

A) 2.2 L. B) 2.9 L. C) 3.4 L. D) 3.8 L.

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