A nurse is preparing a client who speaks limited d. Seek the assistance of a
English for surgery. Which of the following is the most nurse on the floor who is
appropriate nursing action in obtaining informed fluent in the client's
consent from this client? language.
Select one:
a. Do nothing as this is the provider's primary The nurse is responsible for
concern. ensuring that the client
b. The nurse should explain the procedures using understands the information
pictures and hand gestures. provided regarding the
c. Have the nurse respond to the client's concerns so procedure.
the provider can prepare for surgery.
d. Seek the assistance of a nurse on the floor who is
fluent in the client's language.
A nurse is performing initial teaching with a client who a. "My Dilantin dose will be
will be receiving electroconvulsive therapy (ECT). increased several days before
Which statement by the client indicates a need for the procedure."
further teaching?
Because the therapeutic
Select one: action of ECT is to induce
a. "My Dilantin dose will be increased several days seizures, any medications tha
before the procedure." affect the client's seizure
b. "Before the procedure, I will have an EKG to assess threshold must be decreased
for heart irregularities." or discontinued several days
c. "I will need to continue taking my regular blood before the procedure.
pressure medication."
d. "I will stop taking my lithium for 2 weeks prior to
my procedure."
Any cardiac conditions, such
as dysrhythmias, should be
monitored and treated before
the procedure
A daughter of a client with a terminal illness pulls a a. "The living will documents
nurse to the side and says, "Although my mother's your mother's wishes and
living will states she is not to be resuscitated, the must be followed."
family wants everything done to save her if she has a
cardiac arrest." How should the nurse respond?
Select one: A living will is a document
a. "The living will documents your mother's wishes that expresses the client's
and must be followed." wishes regarding medical
b. "I will contact the provider to make him aware of treatment in the event the
, your request." client becomes incapacitated
c. "If your mother has a cardiac arrest, we will begin and is facing end-of-life
resuscitation if you wish." issues. The client's wishes
d. "Since the living will is a legal document a lawyer should be followed by the
will have to make the changes." health care provider.
A provider informs the wife of a comatose client with d. Consult the hospital's ethic
terminal cancer that she will need to sign the consent committee.
for insertion of a gastrostomy feeding tube. The nurse
knows this is against the client's wishes. What is the If the nurse believes the
appropriate action by the nurse? provider's actions are directly
against the client's wishes,
Select one: the nurse should contact the
a. Inform the wife she cannot sign the consent hospital's ethics committee.
b. Prepare the consent for the wife to sign. These committees are
c. Ask the provider for an order for a NG tube instead. typically multidisciplinary and
d. Consult the hospital's ethics committee. are organized to consciously
and reflectively consider
significant and often difficult
issues related to client care.
Any nurse can consult the
hospital's ethics committee
when deemed necessary.
Unless the client has designed
another person as his health
care power of attorney, the
wife, as immediate next of
kin, can legally sign the
consent for the procedure if
she wishes.
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ATI Community Health Proctored Exam ( 13 LATEST
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