A nurse is assisting with obtaining informed consent for a client who has been declared legally incompetent. Which of the following actions should the nurse take?

Ask the charge nurse to obtain informed consent.

Contact the facility social worker to obtain the consent.

Explain implied consent to the client's family.

Request that the client's guardian sign the consent.

Answer and Explanation

The Correct Answer is D

The rationale is that a client who is legally incompetent cannot give informed consent, and the nurse should obtain consent from the person who has the legal authority to make decisions for the client, such as a guardian or a durable power of attorney.

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Correct Answer is B

Explanation

A client who has anorexia nervosa is at risk for cardiac arrhythmias due to electrolyte imbalances, dehydration, and malnutrition. The client's statement of feeling their heart jumping in their chest indicates a possible irregular heartbeat that should be reported to the provider. Edema, temperature, and intake are not as urgent as heart rhythm in this case.

A. The client states that he is unable to eat more than once a day. B. The client frequently recalls negative experiences that occurred during his marriage. C. The client relates that he is angry that the provider did not save his partner's life. D. The client says he feels guilty about not spending more time with his partner.

Correct Answer is A

Explanation

The nurse's priority is to address the client's physical needs, such as nutrition and hydration, which are essential for survival and recovery. The client who is unable to eat more than once a day is at risk for malnutrition, dehydration, and electrolyte imbalance, which can lead to serious complications. The other findings indicate emotional distress and grief, which are also important to address, but not as urgent as the client's physical health.

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A nurse is assisting with obtaining informed consent for a client who has been declared legally incompetent. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

A nurse is caring for a client whose partner died 6 months ago. Which of the following findings is the nurse's priority?

Correct Answer is A

Explanation

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