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A nurse is caring for a client who has a hip fracture that requires surgical repair. Which of the following health care professionals is responsible for obtaining informed consent from the client for the procedure?

A.

Nurse

B.

Surgical suite nurse

C.

Anesthesiologist

D.

Surgeon

Answer and Explanation

The Correct Answer is D

A. The nurse can provide information about the procedure and assist the client in understanding the consent form, but they are not responsible for obtaining informed consent.  

 

B. The surgical suite nurse assists in the surgical environment but does not have the authority to obtain consent.  

 

C. The anesthesiologist discusses the anesthesia involved but does not obtain consent for the surgery itself.  

 

D. The surgeon is responsible for obtaining informed consent, as they must explain the procedure, risks, and benefits to the client before the client can make an informed decision.


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Correct Answer is C

Explanation

A. Giving the medication that is expired poses a risk to the client, as the safety and efficacy of the medication cannot be guaranteed past its expiration date.

B. Returning the medication to the pharmacy may not be feasible in this scenario; proper disposal is generally the nurse's responsibility for expired medications.

C. Discarding the medication is the appropriate action to ensure client safety, as expired medications should not be administered.

D. Notifying the provider is unnecessary in this case; the nurse's responsibility is to discard the expired medication and prepare a new dose that is within its expiration date.

Correct Answer is A

Explanation

A. Requesting a prescription for an oral formulation of the medication is the appropriate action, as sublingual medications are designed to dissolve under the tongue and bypass the gastrointestinal tract, which is not feasible with an NG tube in place.

B. Administering the medication under the client's tongue is incorrect because the NG tube prevents effective absorption through the sublingual route.

C. Dissolving the medication in water and giving it through the NG tube defeats the purpose of sublingual administration and may not provide the desired therapeutic effect.

D. Administering the crushed medication through the NG tube is inappropriate for sublingual medications, as this can alter the medication's pharmacokinetics and effectiveness.

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