A nurse is reviewing the plan of care for a group of clients. The nurse should identify that informed consent is required for which of the following procedures?

Irrigation of a wound with antibiotic solution

Insertion of a nasogastric tube

Placement of a central venous catheter

Administration of an iron injection using Z-track technique

Answer and Explanation

The Correct Answer is C

A.   Incorrect. Irrigation of a wound with antibiotic solution typically does not require informed consent.
B.   Incorrect. Insertion of a nasogastric tube does not usually require informed consent unless it involves specific risks or is part of a research protocol.
C.   Correct. Placement of a central venous catheter is an invasive procedure that involves risks, and informed consent is usually required.
D.   Incorrect. Administration of an iron injection using the Z-track technique is a routine procedure and does not usually require informed consent.

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Correct Answer is C

Explanation

A. One fingerbreadth of space between the cast and the skin is important to prevent constriction, but diminished pulses suggest compromised blood circulation, which is a higher priority.
B. Muscle spasms are common and can cause discomfort, but diminished pulses indicate a more serious circulation issue.
C. Correct. Diminished pulses suggest reduced blood flow, which is a serious concern and requires immediate attention.
D. Ecchymosis might be related to the cast application, but it's less urgent than compromised circulation.

A. Decreased platelets B. Increased iron level C. Increased erythrocyte sedimentation rate D. Decreased hemoglobin

Correct Answer is C

Explanation

A. Incorrect. Decreased platelets are not typically associated with infection but can be indicative of bleeding disorders.
B. Incorrect. Increased iron levels are not directly related to infection but can be associated with conditions like hemochromatosis.
C. Correct. An increased erythrocyte sedimentation rate (ESR. is it a common indicator of inflammation and infection? It reflects the rate at which red blood cells settle in a tube over a specific period.
D. Incorrect. Decreased hemoglobin levels are not specific to infection but can be seen in various conditions, including anemia.

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A nurse is reviewing the plan of care for a group of clients. The nurse should identify that informed consent is required for which of the following procedures?

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Naxlex Comprehensive Predictor Exams

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