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A client is brought to the emergency department by emergency
medical services (EMS) after being hit by a car. The name of the
client is unknown, and the client has sustained a severe head
injury and multiple fractures and is unconscious. An emergency
craniotomy is required. Regarding informed consent for the
surgical procedure, which is the best action? - correct answer-
Transport the victim to the operating room for surgery.
A client who has had abdominal surgery complains of feeling as
though "something gave way" in the incisional site. The nurse
removes the dressing and notes the presence of a loop of bowel
protruding through the incision. Which interventions would the
nurse take? Select all that apply. - correct answer- Contact
the surgeon.
Instruct the client to remain quiet.
Prepare the client for wound closure.
Document the findings and actions taken.
, A client who has undergone preadmission testing has had blood
drawn for serum laboratory stud-ies, including a complete blood
count, coagulation studies, and electrolytes and creatinine
levels. Which laboratory result would be reported to the
surgeon's office by the nurse, knowing that it could cause
surgery to be postponed? - correct answer- Hemoglobin, 8.0
g/dL (80 mmol/L)
A client with a gastric ulcer is scheduled for sur-gery. The client
cannot sign the operative consent form because of sedation
from opioid analgesics that have been administered. The nurse
would take which most appropriate action in the care of this
client? - correct answer- Obtain a telephone consent from a
family member, following agency policy.
A hospitalized client tells the nurse that an instructional directive
is being prepared and that the lawyer will be bringing the
document to the hospital today for witness signatures. The
client asks the nurse for assistance in obtaining a witness to the
will. The nurse plans to make which most appropriate response
to the client? - correct answer- "I will call the nursing
supervisor to seek assistance regarding your request."
A nursing graduate is attending an agency orientation regarding
the nursing model of practice implemented in the health care