A patient with an infected appendix is scheduled for an appendectomy. However, the patient cannot sign the operative consent form because of sedation from opioid analgesics that have been administered. The nurse should take which most appropriate action in the care of this patient? Obtain a telephone consent from a family member, following agency policy. Obtain a court order for the surgery. Have the charge nurse sign the informed consent immediately. Send the client to surgery without the consent form being signed.

You are an administrator in the Intensive Care Unit (ICU). The Physician approaches you for assistance with her patient Mr. Jones and Mr. Jones’ family.      The Physician explains that Mr. Jones no longer requires the level of care that is provided in the ICU and wants to transfer Mr. Jones to an acute medical unit.    Jones is ‘incapable’ so his daughter is making treatment decisions on his behalf.   Jones’ does not have a Power of Attorney for Personal Care, his spouse passed away many years ago, and is daughter ranks next on the substitute decision-maker hierarchy.    The issue that the Physician is facing is that Mr. Jones’ daughter does not want her       father transferred out of the ICU and is telling the Physician and the staff that she does not give her consent for him to be transferred.    Question:    Using your critical thinking skills and what you’ve learned about the Health Care Consent Act, what advice do you give the Physician in this case? Explain your…

A Patient with family history of a hematologic condition is being seen by a nurse. What assessment funding needs additional assessment for the condition.

The client is a 4-year-old who was injured while swimming in the family pool. The client's mother reports that she attempted to help the child out of the pool by pulling up on his arms. Afterward, the child was inconsolably crying and unable to move his left arm. The mother immediately brought him to the pediatric emergency clinic. No swelling is noted to the left arm, but the child is clearly in pain and anxious. Potential Conditions You can only pick one potential condition from the following choices  Writs Fracture Elbow Dislocation Osteogenesis imperfecta Juvenile Idiopathic Arthritis   You can only pick 4 actions the PN should take from the following options?  Supinate and flex the forearm Draw blood for a complete blood count Notify the police of a suspicious injury Apply a tourniquet Provide pain medication

A nurse manager is attempting to update a physician’s officefrom paper to electronic health records (EHR) by using theeight-step process for planned change. Place the followingactions in the order in which they should be initiated:a. The nurse devises a plan to switch to electronic healthrecords.b. The nurse records the time spent on written records vs.electronic health records.c. The nurse seeks approval from management for newcomputersd. The nurse analyzes all options for converting to electronichealth records. e. The nurse installs new computers and provides an in-service for the staff. f. The nurse explores possible barriers to changing to elec-tronic health records. g. The nurse follows up with the staff to check compliancewith the new system.h. The nurse evaluates the effects of changing to electronichealth records.

A client is admitted to the hospital for the implantation of radon seeds in the oral cavity. Which nursing intervention would be performed after the procedure? Providing a regular diet within 2 days Administering nursing care for short periods at a time Giving frequent mouth care at least four times daily Encouraging ambulation in the hallway three times daily

For which reason should the nurse follow safe medication administration for intravenous (IV) medication? The IV route can result in delayed absorption of the medication The IV route results in a delayed onset of action Control over the levels of drugs in the body is unpredictable IV administration is irreversible.

The LPN/LVN is preparing to take a verbal medication order over the telephone from a health-care provider. For which reason would this action be permitted by the LPN/LVN? The RN is going home with a sudden fever and vomiting. The order is in response to the emergency need for a patient. The LPN/LVN is the only person at the nursing station. The action is supported by both state board and facility policy.

A nursing student is required to prepare a report on the history of an HIV-positive client admitted to the hospital. The report should contain the client’s medical history and personal information. The student has used the name of the client in the report. The nursing student also talks to another nurse about the client’s health condition in the presence of the client’s friend.1. What is the nursing student’s mistake? 2. Is the nurse assigned to the client liable to face legal action? Why or why not?

Which situations are appropriate for the registered nurse (RN) to delegate patient care to the licensed practical nurse (LPN)?  Select all that apply. There is adequate staffing and sufficient time for supervision. The task being delegated is identified as part of the LPN job description. An admission assessment must be completed for the patient. The LPN is needed to care for a critical patient.      5. Repeated assessment of an unstable patient is necessary.