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.

Nursing

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The nurse is seeing teenage patients in the pregnancy and sexual outreach center. Which patient would you anticipate instructing on the use of ceftriaxone IM and doxycycline orally?

1. A pregnancy teen with Gonorrhea and a yeast infection 2. A nonpregnant teen with Gonorrhea and Chlamydia 3. A pregnant teen with Syphilis 4. A teen boy with Chlamydia and Trichomoniasis

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A nurse is assessing a 48-year-old client with fever at the community health center

What is usually a non-nursing procedure performed by the nurse in this setting? A) Teaching clients and families B) Arranging for hospital admission C) Assisting with sterile procedures D) Performing laboratory procedures

Nursing

Which of the following laboratory results places the patient at the greatest risk for dysrhythmias?

a. Na+ 148 mEq/L b. Ca++ 8.9 mg/dL c. K+ 6.6 mEq/L d. Na+ 133 mEq/L

Nursing