A nurse is caring for a 16-year-old client who was in a motor-vehicle crash and needs surgical intervention immediately. The staff cannot reach either of the client's parents. The nurse should identify that which of the following is true about obtaining consent?

The surgeon can obtain informed consent from the client's adult cousin.

The surgeon should delay surgery until he can obtain informed consent from a parent.

The surgeon can proceed with the surgery by invoking implied consent.

The client's pediatrician can obtain implied consent.

Answer and Explanation

The Correct Answer is C

A. "The surgeon can obtain informed consent from the client's adult cousin." Informed consent must be obtained from a parent or legal guardian for a minor. An adult cousin does not have the legal authority to provide consent unless they are the legal guardian of the minor, which is not indicated in this scenario.

B. "The surgeon should delay surgery until he can obtain informed consent from a parent." Delaying surgery in an emergency situation could endanger the client's life or health. In such cases, waiting for parental consent is not advisable, and other legal mechanisms, such as implied consent, should be used to proceed with necessary treatment.

C. "The surgeon can proceed with the surgery by invoking implied consent." In emergency situations where the client is a minor and the parents or legal guardians are not available to provide consent, the principle of implied consent allows healthcare providers to perform life-saving procedures without explicit consent. The law recognizes that in emergencies, delaying treatment to obtain consent could result in harm, so the surgeon can proceed with the surgery.

D. "The client's pediatrician can obtain implied consent." The concept of implied consent is not something that can be "obtained" by another healthcare provider. It is a legal principle that allows healthcare providers to act in the best interest of the client during an emergency when consent cannot be obtained. The pediatrician does not have a role in obtaining or invoking implied consent in this context; it is the responsibility of the surgeon performing the emergency procedure.

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 A

Explanation

A. Discard any remaining medication after 10 days:

This is the correct action according to the label. The label specifies that the reconstituted suspension should be discarded after 10 days, emphasizing the importance of not using the medication beyond that period for safety reasons.

B. Use 0.9% sodium chloride solution as a diluent:

The label does not mention the use of 0.9% sodium chloride solution. It specifically provides directions for adding water for reconstitution. Therefore, using sodium chloride solution is not consistent with the instructions.

C. Roll the vial gently in hands to mix the medication:

The label instructs to "Shake vigorously" to wet the powder, not to roll it gently. Shaking is the recommended method for mixing the medication according to the label.

D.Store the medication at room temperature following reconstitution:

The label clearly states that the reconstituted suspension "Must be refrigerated." Storing it at room temperature contradicts the provided instructions

A. Instruct the client to limit flexion of the hips no further than 100". B. Perform range-of-motion exercises every 2 hr. C. Reposition the client every 2 hr. D. Place an abduction pillow between the legs.

Correct Answer is A

Explanation

A. Limiting hip flexion to 100" is an incorrect and potentially unsafe prescription. Such a restriction would severely limit the client's mobility and could impede the recovery process following a total hip arthroplasty. The nurse should clarify this prescription with the provider to ensure that the client is given appropriate instructions for postoperative care.

B. Performing range-of-motion exercises every 2 hours is a standard and appropriate prescription for a postoperative client after a total hip arthroplasty. These exercises help prevent joint stiffness and promote circulation.

C. Repositioning the client every 2 hours is a standard practice to prevent complications such as pressure ulcers and promote comfort and circulation.

D. Placing an abduction pillow between the legs is a common practice after a total hip arthroplasty. It helps maintain proper hip alignment and prevents dislocation of the prosthetic hip joint during the initial postoperative period.

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 is caring for a 16-year-old client who was in a motor-vehicle crash and needs surgical intervention immediately. The staff cannot reach either of the client's parents. The nurse should identify that which of the following is true about obtaining consent?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to reconstitute amoxicillin/clavulanate potassium oral suspension to administer to a client who has a respiratory tract infection. According to the label, which of the following actions should the nurse take? (Refer to the medication label below.)

Correct Answer is A

Explanation

A nurse is reviewing the prescriptions for a client who is postoperative following a total hip arthroplasty. Which of the following prescriptions should the nurse clarify with the provider?

Correct Answer is A

Explanation

A nurse has sustained a needlestick injury from a needle he used to give an injection to a client who has hepatitis C. Which of the following actions should the nurse take?

A nurse is attending a quality improvement meeting. Which of the following actions should the nurse take first when initiating a quality improvement program to address health care-associated infections?

A nurse is documenting the care of a client in the computer when she is called to another client's room. Which of the following actions should the nurse take?

A nurse is preparing to administer methotrexate 7.5 mg subcutaneous for a client who has rheumatoid arthritis. Available is methotrexate 15 mg/0.4 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is reviewing the prescriptions for a client who is postoperative following a total hip arthroplasty. Which of the following prescriptions should the nurse clarify with the provider?

A murse is caring for an older adult client who has advanced dementia and needs a blood transfusion. The client previously designated her ad daughter on a durable power of attorney for health care form, and the daughter refuses the treatment. Which of the following actions should the nurse take?

A nurse is preparing to administer promethazine 25 mg IM to a client. Available is promethazine 50 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is assisting with the plan of care for a child whose parents refuse to accept the medical treatment prescribed by the provider. Which of the following actions should the nurse plan to take first to address this ethical dilemma?