A nurse in the emergency department admits a client who is unconscious and has extensive internal injuries that require emergency surgery. None of the client's family members are able to be reached. The nurse should recognize that emergency surgery can be performed under which of the following legal guidelines?
Living will
Good Samaritan Act
Joint liability
Implied consent
The Correct Answer is D
Rationale:
A. A living will provides instructions for end-of-life care but does not authorize emergency surgical procedures.
B. The Good Samaritan Act protects healthcare providers who give emergency care outside a healthcare setting, not in-hospital surgical consent.
C. Joint liability refers to shared legal responsibility and is not related to consent for treatment.
D. Implied consent allows healthcare providers to perform emergency procedures when a client is unconscious or unable to give consent, and no legal representative is available, making it the correct legal guideline in this scenario.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. A social worker can assist the family in obtaining financial resources, insurance coverage, or community programs to help cover the cost of the nebulizer, making this the correct referral.
B. A pharmacist can provide medication education and possible cost-saving alternatives for prescriptions but cannot arrange funding or equipment access.
C. Child protective services is not appropriate, as the parent is seeking help and there is no indication of neglect or abuse.
D. A respiratory therapist can teach proper use of the nebulizer and asthma management techniques but cannot address the family’s financial barrier to obtaining the equipment.
Correct Answer is A
Explanation
Rationale:
A. A client with emphysema and an oxygen saturation of 92% is stable and within an expected range for this condition. This client’s care can be appropriately managed by an LPN.
B. Admission assessments must be completed by an RN, not an LPN.
C. Administration of blood products (RBCs) requires an RN due to the need for close monitoring and rapid intervention for transfusion reactions.
D. Initiating oral nutrition after a stroke involves swallowing assessment and risk for aspiration, which must be performed by an RN.
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