A nurse in an urgent care center is caring for a 15 year old client whose symptoms

suggest a sexually transmitted infection (STI). The client's parent is unavailable,

but the client's grandmother accompanied the client to the clinic. Which of the

following actions should the nurse take?

- Have the adolescent sign the consent form

A nurse is assisting with the administration of a client who will undergo a

craniotomy. During the physical planning phase of the nursing process, to which of

the following areas should the nurse contribute?

- Establish client outcomes

A nurse is reviewing adult cardiopulmonary resuscitation (CPR) with a newly

licensed nurse. Which of the following steps should the nurse identify as the first

response when performing CPR?

- Confirm unresponsiveness

A nurse is preparing a client who is scheduled for a hysterectomy for transport to

the operating room. The client states she no longer wants the surgery. Which of the

following actions should the nurse take?

- Notify the provider about the client's decision

A nurse is reinforcing teaching with a client about a surgical procedure that she

will undergo later in the day. The client states that no one has spoken to her about

this procedure before. Which of the following should the nurse take?

- Stop reinforcing the teaching and check with the surgeon about informed consent

A nurse is contributing to the plan of care for a client who had a stroke and is

scheduled to receive feeding via a gastrostomy tube. Which of the following

should the nurse recommend prior to initiating each feeding?

- Elevate the head of the bed