A nurse is caring for an adult client who has a history of mental illness and is scheduled for a total hip arthroplasty. The nurse should Identify that which of the following people can provide informed consent for the procedure?

The client's provider

The client's mother

The client

The client's sibling

Answer and Explanation

The Correct Answer is C

The client's provider cannot provide informed consent on behalf of the client. The provider's role is to explain the procedure, its risks and benefits, and answer any questions the client may have to help the client make an informed decision.

The client's mother may have a supportive role in the decision-making process, especially if the client desires their involvement. However, unless the client has been legally deemed unable to make decisions (for example, due to lack of decision-making capacity), the client's consent should be sought directly.

The client is the primary individual who should provide informed consent for their own medical procedure, assuming they have decision-making capacity. They have the right to accept or refuse the treatment after being fully informed about the procedure, risks, benefits, and alternatives.

The client's sibling does not have the authority to provide informed consent for the client's medical procedure unless they have been legally designated as the client's healthcare proxy or legally authorized decision-maker.

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Correct Answer is A

Explanation

Ask the APs to discontinue the conversation:

This is the most appropriate immediate action. Discussing a client's care in a public area violates the principle of patient confidentiality. The nurse should intervene promptly and ask the assistive personnel to stop the conversation.

Inform the client what has occurred:

While transparency with the client is important, it may not be the first action to take in this situation. The priority is to address the breach of confidentiality by stopping the conversation.

Notify the client's provider:

Notifying the client's provider is not the initial action to take in this situation. First, the nurse should address the immediate issue by stopping the inappropriate conversation. The provider may be informed later, if necessary.

Schedule a disciplinary conference for the APs:

Scheduling a disciplinary conference is a step that may be taken after addressing the immediate issue. The priority is to stop the inappropriate conversation and address confidentiality concerns before considering disciplinary actions.

A. Facility policy and procedure manual B. Poison Control Center C. Safety data sheet D. The National Quality Forum

Correct Answer is A

Explanation

A. Facility policy and procedure manual.

The facility policy and procedure manual is the primary resource for step-by-step directions to clean up a chemical spill within a specific healthcare setting. Each healthcare facility has its own policies and procedures outlining the appropriate steps to take in the event of a chemical spill to ensure the safety of both patients and healthcare providers.

B. Poison Control Center:

The Poison Control Center is a valuable resource for information related to poisoning, but it may not provide specific step-by-step directions for cleaning up a chemical spill. Its primary focus is on managing exposures and providing advice on the treatment of poisonings.

C. Safety data sheet (SDS):

The Safety Data Sheet provides information about the properties of a chemical substance. While it offers details about the chemical and its hazards, it is not typically used as a step-by-step guide for cleaning up a spill. The SDS is more focused on providing information about the chemical's properties, safety precautions, and emergency response measures.

D. The National Quality Forum:

The National Quality Forum is a healthcare organization that focuses on healthcare quality improvement. It is not a primary resource for specific step-by-step directions for handling a chemical spill. Facility-specific policies and procedures are more appropriate for this purpose.

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A nurse is caring for an adult client who has a history of mental illness and is scheduled for a total hip arthroplasty. The nurse should Identify that which of the following people can provide informed consent for the procedure?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse overhears two assistive personnel (AP) in the cafeteria discussing a client's care during lunch. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is reinforcing teaching with a newly licensed nurse about chemical spills on the medical-surgical unit. The nurse should recognize that the newly licensed nurse understands the teaching by choosing which of the following resources for step-by-step directions to clean up the spill?

Correct Answer is A

Explanation

A nurse is assisting in the care of a client who is to receive 0.9% sodium chloride 1,800 mL IV over 6 hr. The nurse should ensure the IV pump is set to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is assisting with the care of a client who is experiencing a cardiac arrest. Which of the following tasks should the nurse assign to an assistive personnel?

A nurse is preparing to administer a medication to a client and discovers that the incorrect dose of medication was administered during the previous shift. Which of the following actions should the nurse take first?

A nurse is reviewing safety precautions with an assistive personnel (AP) about repositioning a client who has a pressure ulcer. Which of the following actions suggested by the AP indicates an understanding of the procedure?

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 in a long-term care facility is collecting data for an interdisciplinary care conference for a client who has Parkinson's disease. Which of the following findings is the priority for the nurse to report at the conference?

A nurse is caring for a client who is scheduled for surgery. While reviewing the client's medical record, the nurse notes the client is an organ doner Which of the following documents provides information about organ donation?