The nurse is caring for a 12-year-old child hospitalized for internal injuries following a motor vehicle accident. For which medical treatment would the nurse ensure that an informed consent is completed beyond the one signed at admission?
A) Diagnostic imaging
B) Cardiac monitoring
C) Blood testing
D) Spinal tap
Ans: D
Most care given in a health care setting is covered by the initial consent for treatment signed when the child becomes a patient at that office or clinic or by the consent to treatment signed upon admission to the hospital or other inpatient facility. Certain procedures, however, require a specific process of informed consent, including major and minor surgery; invasive procedures such as lumbar puncture or bone marrow aspiration; treatments placing the child at higher risk, such as chemotherapy or radiation therapy; procedures or treatments involving research; photography involving children; and applying restraints to children.
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The nurse teaches the newly diagnosed diabetic client that the best means of reducing the risk of complications is to:
1. Exercise regularly for a minimum of 30 minutes a day. 2. See the doctor every six months. 3. Eat properly. 4. Maintain stable blood sugar level.
The nurse discovers the type 1 diabetic (IDDM) patient drowsy and tremulous, the skin is cool and moist, and the respirations are 32 and shallow. These are signs of:
a. hypoglycemic reaction; give 6 oz of orange juice. b. hyperglycemic reaction; give ordered regular insulin. c. hyperglycemic hyperosmolar nonketotic reaction; squeeze glucagon gel in buccal cavity. d. hypoglycemic reaction; give ordered insulin.
A nurse is participating in the planning of a hospital's emergency operations plan. The nurse is aware of the potential for ethical dilemmas during a disaster or other emergency
Ethical dilemmas in these contexts are best addressed by which of the following actions? A) Having an ethical framework in place prior to an emergency B) Allowing staff to provide care anonymously during an emergency C) Assuring staff that they are not legally accountable for care provided during an emergency D) Teaching staff that principles of ethics do not apply in an emergency situation
The nurse cares for a client in Bryant's traction. The child has extensive edema and is unable to move either leg. Which does the nurse implement?
1. Notify the child's provider immediately. 2. Remove the legs from traction for 1 hour. 3. Apply warm moist compresses to both legs. 4. Adjust the amount of weight on the traction.