A nurse in an emergency department is caring for a client who is unconscious and requires surgery. There is no one available to give consent for the treatment. Which of the following actions should the nurse take?

Prepare the client for surgery.

Obtain consent from the surgeon.

Contact the facility's ethics committee for guidance

Keep the client stable until a family member arrives to give consent.

Answer and Explanation

The Correct Answer is A

A. In an emergency situation where a patient is unconscious and unable to give consent, and there is no available family member or designated surrogate to provide consent, healthcare providers can proceed with life-saving treatment under the principle of implied consent. This principle assumes that a reasonable person would consent to treatment if they were able to do so.

B. The surgeon cannot give consent for the patient. Consent must come from the patient or a legally authorized representative.
C. In situations where consent cannot be obtained from the patient or a legally authorized representative, involving the ethics committee can be a prudent course of action. However, this may delay emergency care.
D. This option may be appropriate if there is a reasonable expectation that a family member or legally authorized representative will arrive within a reasonable timeframe. However, in emergency situations where immediate intervention is necessary to save the patient's life or prevent serious harm, waiting for consent may not be feasible.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

D. It's important to choose a pouching system that provides a snug fit around the stoma without covering the stoma itself. Leaving a small margin (usually around 0.32 cm or 1/8 inch) between the stoma and the opening of the pouch helps to prevent irritation or pressure on the stoma, allowing for proper drainage and protecting the peristomal skin.
A. After cleaning the peristomal skin around the stoma, it's important to ensure that the area is completely dry before applying the pouching system. Moisture on the skin can prevent the adhesive from sticking properly, leading to leakage and skin irritation. However, rubbing can lead to more skin damage.
B. It's essential to ensure that the peristomal skin is completely dry before applying the pouching system. Applying the pouch while the skin barrier is still damp can compromise the adhesive and lead to poor adherence, increasing the risk of leakage and skin irritation.
C. The frequency of pouch changes depends on factors such as the type of stoma, output consistency, and individual client needs. In many cases, pouches can be worn for several days before needing to be changed. However, if the pouch becomes soiled, loose, or odorous, it should be changed promptly to maintain skin integrity and prevent infection.

A. Eyelashes that curl slightly outward. B. Corneas with an opaque appearance C. Pupils that are 8 to 9 mm in diameter D. Eyelids that blink involuntarily 30 to 35 times per minute

Correct Answer is A

Explanation

A. Eyelashes that curl slightly outward help protect the eyes by reducing the entry of foreign particles and debris. They also help to direct tears away from the eyes and prevent excessive moisture buildup.
B. The cornea is normally transparent, allowing light to enter the eye and focusing it onto the retina. An opaque appearance of the cornea may indicate conditions such as corneal edema, scarring, or infection, which can impair vision and require further assessment and treatment.
C. The normal diameter of an adult pupil ranges from about 2 to 4 mm in bright light and up to about 4 to 8 mm in dim light. Pupils that are consistently dilated to 8 to 9 mm may indicate abnormalities such as an underlying neurological condition, drug effects, or trauma to the eye.
D. The average blink rate is around 15-20 times per minute under normal conditions.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse in an emergency department is caring for a client who is unconscious and requires surgery. There is no one available to give consent for the treatment. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a colostomy. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is performing an eye assessment for a newly admitted client. Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

A nurse is teaching a client how to self-administer heparin. Which of the following instructions should the nurse include in the teaching?

A nurse is preparing to provide tracheostomy care for a client. Which of the following actions should the nurse plan to take?

A nurse is providing discharge teaching about safety considerations to an older adult client who lives at home. The client has heart failure and a new prescription for hydrochlorothiazide. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is caring for a client who has severe rheumatoid arthritis in her hands and is unable to feed herself. For which of the following health care team members should the nurse request a referral from the provider?

A nurse is teaching a group of newly licensed nurses about the Braden scale. Which of the following responses by a newly licensed nurse indicates an understanding of the teaching?

A nurse is planning care for a client who is immobile. Which of the following actions should the nurse include in the plan of care?

A nurse is caring for a client who has pneumonia. Exhibits

A nurse is preparing to administer several medications via an NG tube to a client who is receiving a continuous tube feeding. Which of the following actions should the nurse take?