A nurse is caring for a client who is hospitalized and has expressive aphasia. The client's
family reports that the nurse failed to obtain written informed consent before inserting an
indwelling urinary catheter. Which of the following responses should the nurse make?
"Procedures prescribed by the provider do not require consent."
"This is a procedure that does not require written informed consent." •
"You are right. I will discuss this issue with the charge nurse."
"Would you mind signing the informed consent form for the procedure at this time?"
A nurse is assigning care for four clients. Which of the following tasks should the nurse
plan to delegate to an assistive personnel (AP)?
Instruct a client how to take their blood pressure.
Administer subcutaneous medications to a client.
Determine a client's intake and output. •
Provide a status update to a client's family member.
A nurse is planning the discharge of a newborn who requires apnea monitoring at home. To
which of the following community agencies should the nurse anticipate referring the
guardian of the newborn?
Child protective services
Public health
• Home health
Women, Infants, and Children
A charge nurse is leading a committee that is revising the policy for client discharge. After
developing the initial plan, which of the following actions should the nurse take next.
Set target dates for completion.
Identify areas of support.
Determine goals and objectives. •
Implement recommended strategies
A home health nurse is planning her daily visits and receives laboratory results for four
adult clients. The nurse should first visit the client who has which of the following
laboratory values?
Digoxin 1.0 ng/mL •
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