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","D"]

Explanation

A. Teach a client about hemodialysis: This task requires an RN's advanced education and assessment skills.
B. Assist in checking a unit of packed RBCs to administer to a client: Assisting in double-checking blood products is within the scope of practice, although administration requires an RN.
C. Create a plan of care for a client's discharge: Developing a comprehensive discharge plan is a responsibility of the RN.
D. Regulate the client's infusion pump after initiating a heparin drip infusion: Once the heparin drip is initiated by an RN, LPNs can regulate the infusion pump.

A. A nurse tells a client's health care surrogate that the client might require restraints if diversion activities are ineffective. B. A staff member reports to the unit supervisor during a private meeting that a coworker is possibly impaired. C. A nurse documents that a client was shouting and directly quotes the client's words. D. A client overhears an assistive personnel make a false statement about the assigned nurse and requests a different nurse.

Correct Answer is A

Explanation

A. A nurse tells a client's health care surrogate that the client might require restraints if diversion activities are ineffective: This does not meet the criteria for slander, as it involves a potential clinical plan of care rather than false statements.
B. A staff member reports to the unit supervisor during a private meeting that a coworker is possibly impaired: Communication during a private meeting does not constitute slander.
C. A nurse documents that a client was shouting and directly quotes the client's words: Documenting client behavior accurately in the medical record does not qualify as slander.
D. A client overhears an assistive personnel make a false statement about the assigned nurse and requests a different nurse: Slander involves making false verbal statements that harm someone's reputation. If overheard, this constitutes slander.

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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

A nurse is planning care for four clients. Which of the following tasks are within the nurse's scope of practice?

Correct Answer is ["B","D"]

Explanation

A nurse is assisting with a staff in-service about legal issues. Which of the following scenarios should the nurse include as an example of slander?

Correct Answer is A

Explanation

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