Leadership and Management of Care Quiz VATI with correct answers 2024.
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Course
VATI
Institution
VATI
A nurse is preparing a client who speaks limited English for surgery. Which of the following is the most appropriate nursing action in obtaining informed consent from this client?
Select one:
a. Do nothing as this is the provider's primary concern.
b. The nurse should explain the procedures us...
Leadership and Management of Care
Quiz VATI with correct answers 2024
A nurse is preparing a client who speaks limited English for surgery. Which of the
following is the most appropriate nursing action in obtaining informed consent from
this client?
Select one:
a. Do nothing as this is the provider's primary concern.
b. The nurse should explain the procedures using pictures and hand gestures.
c. Have the nurse respond to the client's concerns so the provider can prepare for
surgery.
d. Seek the assistance of a nurse on the floor who is fluent in the client's language. -
correct answer d. Seek the assistance of a nurse on the floor who is fluent in the
client's language.
The nurse is responsible for ensuring that the client understands the information
provided regarding the procedure.
A nurse is performing initial teaching with a client who will be receiving
electroconvulsive therapy (ECT). Which statement by the client indicates a need for
further teaching?
Select one:
a. "My Dilantin dose will be increased several days before the procedure."
b. "Before the procedure, I will have an EKG to assess for heart irregularities."
c. "I will need to continue taking my regular blood pressure medication."
d. "I will stop taking my lithium for 2 weeks prior to my procedure." - correct answer
a. "My Dilantin dose will be increased several days before the procedure."
Because the therapeutic action of ECT is to induce seizures, any medications that
affect the client's seizure threshold must be decreased or discontinued several days
before the 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 nurse to the side and says,
"Although my mother's living will states she is not to be resuscitated, the family
, Leadership and Management of Care
Quiz VATI with correct answers 2024
wants everything done to save her if she has a cardiac arrest." How should the nurse
respond?
Select one:
a. "The living will documents your mother's wishes and must be followed."
b. "I will contact the provider to make him aware of your request."
c. "If your mother has a cardiac arrest, we will begin resuscitation if you wish."
d. "Since the living will is a legal document a lawyer will have to make the changes."
- correct answer a. "The living will documents your mother's wishes and must be
followed."
A living will is a document that expresses the client's wishes regarding medical
treatment in the event the client becomes incapacitated and is facing end-of-life
issues. The client's wishes should be followed by the health care provider.
A provider informs the wife of a comatose client with terminal cancer that she will
need to sign the consent for insertion of a gastrostomy feeding tube. The nurse
knows this is against the client's wishes. What is the appropriate action by the
nurse?
Select one:
a. Inform the wife she cannot sign the consent
b. Prepare the consent for the wife to sign.
c. Ask the provider for an order for a NG tube instead.
d. Consult the hospital's ethics committee. - correct answer d. Consult the hospital's
ethics committee.
If the nurse believes the provider's actions are directly against the client's wishes, the
nurse should contact the hospital's ethics committee. These committees are typically
multidisciplinary and 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.
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