A 9-year-old patient has been diagnosed with leukemia. The patient's parents have given consent to enroll the child in a clinical trial of a new chemotherapy regimen. What is the nurse's primary obligation in this scenario?
1. Start the trial medications as soon as possible.
2. Be certain all laboratory and diagnostic studies necessary for the trial are completed.
3. Advocate for the patient by requiring the child's assent to participate in the study.
4. Be certain to explain all procedures and nursing interventions to the patient as well as to the parents.
3
Rationale 1: This is an important nursing action, but not the most important in this scenario.
Rationale 2: This is an important nursing action, but not the most important in this scenario.
Rationale 3: Once a child is over 7 years of age, the child must give assent to the study, even if the parents have given consent.
Rationale 4: This is an important nursing action, but not the most important in this scenario.
Global Rationale:
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Which of these statements concerning guidelines for consenting children for research participation are true? (Select all that apply.)
a. No infant or child may be used in research if he or she refuses treatment. b. Emancipated minors may consent for themselves. c. Coercion is wrong, but begging a child to participate is acceptable. d. An 11-year-old should be asked to assent for research participation. e. If infants and children participate in research, they should sign a consent form. f. Infants cannot refuse to participate in research if their parents consent.
A nurse provides spiritual care for a patient awaiting a liver transplant. The nurse should anticipate that the patient's most likely response will be
a. consideration of issues related to own mortality. b. devaluation of prayer and organized religion. c. misinterpretation of medical information. d. clinical depression.
Calculate the infusion time for an IV of 1,500 mL running at 25 gtt/min. if the drop factor is 15 gtt/mL
1. 15 h 2. 41.7 h 3. 898 h 4. 60 h
As a nurse working in a local jail or a holding facility for prisoners, you would keep in mind that compared to suicide events in prisons, suicide events in this type of facility occur:
a. less often b. at the same rate c. slightly more often d. much more often