HESI - NCLEX PN (Correctly solved!)

What determines patient competency? correct answers a person's ability to make responsible decisions; client must be alert, coherent, emancipated, or have parent or legal guardian. Under what conditions can a client be involuntarily admitted to a psychiatric facility? correct answers Client is declared a threat to self or others as certified by a licensed health care provider (one or two required.) Client must receive legal hearing shortly after admission; confinement is usually limited to 90 days and may possibly be extended to 1 year commitment. Name 3 legal requirements of a surgical permit. correct answers must be written, voluntary, informed, witnessed, and signed by a competent adult, emancipated minor, or parent or legal guardian. When can a procedure be performed without written consent? correct answers when the client is fully informed, the client voluntarily agrees to the procedure, verbal consent is obtained, and is necessary to save "life or limb." What role does a PN have in obtaining consent? informed consent? correct answers A PN is responsible for making sure the consent form is signed and in the client's chart. Nurses do not obtain informed consent; that is obtained by the person performing the surgery. What action is should a PN take when a prescription or medical order is inappropriate? correct answers The PN should inform the HCP, record that the HCP was informed, and record the HCP's response to such information. The PN should inform the nursing supervisor and decline to perform the order. Describe the nursing care of a restrained client. correct answers Apply restraints according to the manufacturer's instructions and facility policy; check restraints regularly and frequently. Prevent injury from the restraints, record all monitoring, remove restraints as soon as possible; and demonstrate and record repeated efforts to avoid restraint use. The PN recognizes that the scope of practice for the PN allows the PN to provide care for which of the following clients on the unit? a. an 18 year old after a tonsillectomy b. a client with COPD on IV antibiotics for bronchitis c. a client with MI who is complaining of chest pain d. a client who has esophageal varices and develops hematemesis correct answers B. The COPD client is stable; the other options describe clients who are unstable and need monitoring. Caring for those clients is beyond the PN scope of practice. Which of the following clients are appropriate assignments for the PN? a. a client with unstable angina who complains of indigestion b. a client who has DM2 with fasting blood sugar of 195 and needs subQ insulin injection c. a client who has CHF whos K+ level is 5.8 mEq/L