A client who is unconscious and has extensive internal injuries arrives via ambulance to the emergency department. The staff cannot reach the client's family. Which of the following permits the staff to proceed with emergency surgery?

Good Samaritan Act

Nonmaleficence

Living will

Implied consent

Answer and Explanation

The Correct Answer is D

A. The Good Samaritan Act provides legal protection to individuals who assist those who are injured or in danger but does not specifically apply to emergency medical procedures performed by healthcare providers.

B. Nonmaleficence refers to the ethical principle of doing no harm, which supports the need for treatment but does not provide the legal basis for proceeding without consent.

C. A living will outlines a person's wishes regarding medical treatment in the event they become unable to communicate, but it does not specifically grant permission for emergency surgery when the individual is unconscious.

D. Implied consent is applicable in emergency situations where the patient is unable to give consent, and it is assumed that they would consent to necessary life-saving procedures, such as emergency surgery.

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Correct Answer is D

Explanation

A. Restraints should be tied using a quick-release knot, not a square knot. A quick-release knot allows for easy removal in emergencies.

B. A provider cannot write a prescription for restraints "as needed" because restraints must be prescribed for a specific duration and reason, ensuring they are used safely and appropriately.

C. Restraints should be removed as soon as they are no longer necessary, typically every 2 hours, not every 4 hours, to ensure the client's comfort and safety.

D. Restraints should always be secured to a part of the bed frame that moves with the client’s position. This prevents excessive tightening or loosening of the restraint, which could cause injury or compromise circulation. Restraints should never be tied to side rails, as this can lead to serious harm if the rails are moved.

A. "I will use an alcohol-based hand cleanser when caring for a client who has Clostridium difficile." B. "I will wear a cover gown when caring for a client who has herpes simplex." C. "I will wear an N95 respirator mask when caring for a client who is on contact precautions." D. "I will place a client who requires protective isolation in a negative airflow room."

Correct Answer is B

Explanation

A. Alcohol-based hand cleansers are not effective against Clostridium difficile spores; handwashing with soap and water is necessary.

B. Wearing a cover gown when caring for a client with herpes simplex is appropriate for contact precautions, indicating an understanding of isolation guidelines.

C. An N95 respirator mask is required for airborne precautions, not contact precautions.

D. Clients requiring protective isolation typically do not need to be placed in a negative airflow room, which is reserved for airborne precautions.

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A client who is unconscious and has extensive internal injuries arrives via ambulance to the emergency department. The staff cannot reach the client's family. Which of the following permits the staff to proceed with emergency surgery?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is orienting a newly licensed nurse about the use of restraints. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

Correct Answer is D

Explanation

A nurse manager is reviewing isolation guidelines with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

Correct Answer is B

Explanation

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