A nurse in the emergency department is caring for a 16-year-old client who reports abdominal pain and is accompanied by an adult neighbor. The provider diagnoses a ruptured appendix and states that the client requires an emergency appendectomy. Which of the following actions should the nurse take?

Witness the client signing the consent form.

Ask the adult neighbor to sign the consent form.

Obtain consent from the hospital administrator.

Attempt to notify the client's guardian to obtain consent.

Answer and Explanation

The Correct Answer is D

Choice A reason: This is not the correct choice because witnessing the client signing the consent form is not a valid option. The client is a minor and cannot legally consent to their own treatment without the permission of their guardian, unless they are emancipated, married, or pregnant.

Choice B reason: This is not the correct choice because asking the adult neighbor to sign the consent form is not a valid option. The adult neighbor is not a legal guardian or a close relative of the client and has no authority to consent to the client's treatment.

Choice C reason: This is not the correct choice because obtaining consent from the hospital administrator is not a valid option. The hospital administrator is not a medical professional or a legal representative of the client and has no authority to consent to the client's treatment.

Choice D reason: This is the correct choice because attempting to notify the client's guardian to obtain consent is the best option. The client's guardian is the person who has the legal right and responsibility to make decisions for the client's health care. The nurse should try to contact the guardian by phone or other means and obtain verbal or written consent for the emergency surgery. If the guardian cannot be reached, the nurse should follow the facility's policy and procedure for obtaining consent in emergency situations.

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Correct Answer is B

Explanation

Choice A reason: The client's electrical cord is taped to the floor is not a safety hazard, but rather a safety measure to prevent tripping or pulling the cord.

Choice B reason: The client's bedside lamp is plugged in using an extension cord with two prongs is a safety hazard because it poses a risk of fire or electric shock. Extension cords should have three prongs and should not be used for permanent wiring.

Choice C reason: The client has used tacks to secure the carpet on the stairs is not a safety hazard, but rather a safety measure to prevent slipping or falling on the stairs.

Choice D reason: The client stores cleaning supplies in a locked cabinet above his head is not a safety hazard, but rather a safety measure to prevent accidental ingestion or exposure to toxic substances.

A. Accompanying a client who just had a wound debridement to physical therapy B. Providing postmortem care for a client who has just died C. Obtaining a urine specimen from an older adult client D. Reinforcing dietary teaching with a client who has heart disease

Correct Answer is D

Explanation

Choice A reason: Accompanying a client who just had a wound debridement to physical therapy is not a task that the nurse should assign to the LPN, as it requires the nurse to monitor the client's vital signs, wound status, and pain level. The nurse should accompany the client and delegate other tasks to the LPN or the assistive personnel.

Choice B reason: Providing postmortem care for a client who has just died is not a task that the nurse should assign to the LPN, as it requires the nurse to verify the death, notify the provider and the family, and document the care. The nurse should provide postmortem care and delegate other tasks to the LPN or the assistive personnel.

Choice C reason: Obtaining a urine specimen from an older adult client is not a task that the nurse should assign to the LPN, as it is a basic skill that the assistive personnel can perform. The nurse should assign this task to the assistive personnel and supervise their work.

Choice D reason: Reinforcing dietary teaching with a client who has heart disease is a task that the nurse should assign to the LPN, as it is within the LPN's scope of practice to reinforce the teaching that the nurse has initiated. The nurse should provide the initial teaching and evaluate the client's learning.

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A nurse in the emergency department is caring for a 16-year-old client who reports abdominal pain and is accompanied by an adult neighbor. The provider diagnoses a ruptured appendix and states that the client requires an emergency appendectomy. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A home health nurse is performing a safety assessment of a client's home. Which of the following findings should the nurse identify as a safety hazard?

Correct Answer is B

Explanation

A nurse on a medical-surgical unit is caring for a group of clients with the assistance of a licensed practical nurse (LPN) and an assistive personnel. Which of the following tasks should the nurse assign to the LPN?

Correct Answer is D

Explanation

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