A nurse is caring for a group of clients in a medical-surgical unit. The nurse should ensure that the client has signed an informed consent form prior to which of the following procedures? (Select all that apply.)

Inserting an indwelling urinary catheter

Receiving moderate sedation

Inserting a peripheral IV catheter

Suctioning a tracheostomy tube

Undergoing cardiac catheterization

Answer and Explanation

Correct Answer : B,E

A.   Inserting an indwelling urinary catheter: This is a routine procedure that does not require informed consent.
B.   Receiving moderate sedation: Moderate sedation involves the risk of respiratory depression and other complications, necessitating informed consent.
C.   Inserting a peripheral IV catheter: Routine IV insertion does not require formal informed consent.
D.   Suctioning a tracheostomy tube: Suctioning is a standard care procedure that does not require informed consent.
E.   Undergoing cardiac catheterization: Cardiac catheterization is an invasive diagnostic or therapeutic procedure with potential risks, requiring informed consent.

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Correct Answer is D

Explanation

A. Documenting false information in a client’s medical record: This constitutes fraud or falsification rather than negligence.
B. Restraining a client without a provider’s prescription: This action is considered false imprisonment, a type of intentional tort, not negligence.
C. Threatening to administer a medication a client has refused: This is classified as assault, an intentional tort.
D. Failing to notify the provider after a medication error: Negligence involves failing to act in a way that a reasonably prudent nurse would under similar circumstances. Failing to notify the provider about a medication error compromises client safety and demonstrates a breach of duty.

A. Advance directives B. Informed consent C. Provider’s prescription D. Do-not-resuscitate order

Correct Answer is A

Explanation

A. Advance directives: Advance directives may contain information about the client's wishes for organ donation, along with other end-of-life preferences.
B. Informed consent: Informed consent is related to specific treatments or procedures and does not address organ donation.
C. Provider's prescription: Providers do not write prescriptions for organ donation; it is a legal decision made by the client.
D. Do-not-resuscitate (DNR) order: A DNR order only indicates that no resuscitation should be attempted in the event of cardiac or respiratory arrest.

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A nurse is caring for a group of clients in a medical-surgical unit. The nurse should ensure that the client has signed an informed consent form prior to which of the following procedures? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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