A nurse reviewing prescriptions for a client who has a gastrointestinal bleed is determining the need for special informed consent. Which of the following prescriptions should the nurse identify as covered under the client's general consent for treatment?

Abdominal CT scan with contrast.

Esophagogastroduodenoscopy.

Insertion of an NG tube to low intermittent suction.

Administration of 1 unit of fresh frozen plasma.

Answer and Explanation

The Correct Answer is C

A. An abdominal CT scan with contrast typically requires specific informed consent due to the use of contrast material and potential risks associated with it.
B. An esophagogastroduodenoscopy is an invasive procedure that necessitates special informed consent due to its risks and potential complications.
C. The insertion of an NG tube to low intermittent suction is considered a routine procedure that is generally included under the client's general consent for treatment.
D. The administration of fresh frozen plasma involves specific risks and usually requires informed consent because of the implications of blood product administration.

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Correct Answer is A

Explanation

A. Difficulty swallowing (dysphagia) is the priority because it increases the risk of aspiration, which can lead to aspiration pneumonia, a serious and potentially life-threatening complication for clients with Parkinson's disease.
B. Insomnia, while impacting quality of life, is not as immediately life-threatening as aspiration risk.
C. Needing additional help to stand reflects disease progression but does not carry the immediate risk of a life-threatening complication.
D. Difficulty dressing also indicates disease progression but does not pose an immediate danger to the client’s health.

A. Report the concern to the charge nurse. B. Question the nurse who worked the shifts in question. C. Notify the pharmacy that the medication was not given. D. Document the client's claim in the nurses' notes.

Correct Answer is A

Explanation

A. Reporting the concern to the charge nurse is the appropriate action, as it ensures that the issue is addressed through proper channels. The charge nurse can investigate and determine if further action is needed, such as reviewing the medication administration process.
B. Questioning the nurse directly could lead to confrontations and is not the correct procedure for handling potential discrepancies in medication administration.
C. Notifying the pharmacy is unnecessary at this point because the issue concerns administration rather than medication supply or errors with the prescription.
D. While documenting the client’s report is important, simply documenting the client’s claim without notifying the charge nurse does not fully address the concern.

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A nurse reviewing prescriptions for a client who has a gastrointestinal bleed is determining the need for special informed consent. Which of the following prescriptions should the nurse identify as covered under the client's general consent for treatment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a long-term care facility is collecting data for an interprofessional 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?

Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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