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A nurse reviewing prescriptions for a client who has a gastrointestinal bleed is determining the need for special informed consent. Which of the following prescriptions should the nurse identify as covered under the client's general consent for treatment?

A.

Abdominal CT scan with contrast.

B.

Esophagogastroduodenoscopy.

C.

Insertion of an NG tube to low intermittent suction.

D.

Administration of 1 unit of fresh frozen plasma.

Answer and Explanation

The Correct Answer is C

A. An abdominal CT scan with contrast typically requires specific informed consent due to the use of contrast material and potential risks associated with it.  

 

B. An esophagogastroduodenoscopy is an invasive procedure that necessitates special informed consent due to its risks and potential complications.  

 

C. The insertion of an NG tube to low intermittent suction is considered a routine procedure that is generally included under the client's general consent for treatment.  

 

D. The administration of fresh frozen plasma involves specific risks and usually requires informed consent because of the implications of blood product administration.


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View Related questions

Correct Answer is B

Explanation

A. Assisting a client with counting carbohydrates is important for managing diabetes, but it is not an urgent need that must be addressed immediately.

B. A client with a new tracheostomy who is experiencing coughing episodes may indicate a risk for airway obstruction or other complications, making this the most urgent situation that requires immediate intervention.

C. A client with a BMI of 17 who refuses dinner could be concerning for nutritional status, but it is not as critical as addressing potential airway issues with the tracheostomy client.

D. While demonstrating colostomy care is essential for discharge readiness, it can wait until more urgent needs are addressed. Ensuring the client with a tracheostomy is stable is the priority.

Correct Answer is D

Explanation

A. Using only room numbers for client identification does not guarantee confidentiality, as room numbers can still be linked to specific individuals.

B. Logging assistive personnel into unit computers compromises security and violates confidentiality protocols. Each user should have a unique login.

C. Including a client’s name on a fax cover sheet is not recommended, as it exposes protected health information and can breach confidentiality.

D. Conducting change-of-shift report in a staff-only area protects client information from being overheard by unauthorized individuals, ensuring confidentiality.

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