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 B

Explanation

A. Elevate the head of the client's bed to 45° during meals: The head should be elevated to 90° to reduce the risk of aspiration during meals.
B. Request a speech therapist consult from the provider: Speech therapists can assess swallowing difficulties and recommend appropriate strategies.
C. Instruct the client to tilt their head back when swallowing: This position increases the risk of aspiration by opening the airway during swallowing.
D. Administer liquids to the client using a syringe: Syringe administration can lead to choking or aspiration and is not a standard feeding practice for dysphagia clients.

A. Client care Kardex B. Standardized care plan C. I&O record D. Medication administration record

Correct Answer is A

Explanation

A. Client care Kardex: The Kardex provides a concise, comprehensive overview of the client's care needs, treatments, and status.
B. Standardized care plan: These are generalized and do not provide client-specific information.
C. I&O record: This record focuses solely on fluid intake and output and lacks comprehensive client details.
D. Medication administration record: This record provides details about medications but does not offer a complete picture of the client's care.

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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

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