A nurse is caring for an adolescent who is scheduled for insertion of an intrauterine device. Which of the following actions should the nurse take?
Encourage the adolescent to wait to ask questions about the device until after its insertion.
Call the adolescent's guardian to obtain verbal consent prior to the procedure.
Reschedule the procedure until the client's guardian provides written consent.
Witness the adolescent's signature on the consent form.
The Correct Answer is D
A. "Encourage the adolescent to wait to ask questions about the device until after its insertion." The adolescent should be encouraged to ask questions before the procedure to ensure informed consent and understanding.
B. "Call the adolescent's guardian to obtain verbal consent prior to the procedure." In many areas, adolescents can provide consent for reproductive health services, including contraception, without parental consent.
C. "Reschedule the procedure until the client's guardian provides written consent." Most states and healthcare policies allow minors to consent to birth control procedures without requiring parental involvement.
D. "Witness the adolescent's signature on the consent form." The nurse should witness and document the adolescent’s informed consent, as they have the right to make decisions regarding their reproductive health.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "I will lay my baby on their side to sleep for naps." The supine (on the back) position is the safest for sleep to reduce the risk of SUIDS.
B. "I will dress my baby in lightweight clothing to sleep." Overheating is a risk factor for SUIDS. Lightweight clothing helps prevent overheating and promotes safe sleep.
C. "I will have my baby sleep next to me in bed during the night." Bed-sharing increases the risk of suffocation and SUIDS. Room-sharing with a separate sleep surface is recommended.
D. "I will move my baby's stuffed animal to the corner of their crib while they sleep." Soft objects, including stuffed animals and blankets, should not be in the crib at all to reduce the risk of suffocation.
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}
Explanation
Severe Pain Management: The child's pain increased from 7/10 to 10/10, indicating worsening vaso-occlusive crisis. IV hydromorphone (Dilaudid) is a strong opioid analgesic commonly used for severe sickle cell pain when first-line options (e.g., morphine) are insufficient. Swelling and warmth in the right knee suggest ongoing vaso-occlusion and inflammation. Increased blood pressure (120/74 mm Hg) and respiratory rate (25/min) likely indicate pain-related distress.
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