53. which of the following actions, A nurse working in the emergency department is assessing several clients. Fundamentals LVN ATI Practice Exam Week 3. In the case of pediatric patients for whom parents or guardians refuse blood transfusions to save the childs life, a majority of courts are much more likely to intervene.71 This result is due to the compelling State interest in preserving the life of a child; even when both the patient and the patients parents steadfastly have expressed their refusal of life-saving blood transfusion, generally on the basis of religious beliefs, courts on provider petition have allowed the State to act and have ordered the transfusion to preserve the life of the pediatric patient. After being anesthetized, the patient was more easily examined and was found to require immediate arm amputation because of the danger the injury posed to his life. Case #1: An Emergency with Potential for Immediate and Imminent Harm. Hematol Oncol Clinics NA 2002;16:1365-1380. However, upon awakening and being discharged, the girls mother brought suit against the hospital on the basis of a lack of informed consent. The surgery was successful and the patient experienced an uneventful recovery. 5. A female patient required an appendectomy. electronic health records (ERH) system. a. the patient complaining of itching around the area of the wound. In these cases, it is a physician's duty to seek consent from a suitable surrogate. Provide privacy of each situation. 47. This disease state was estimated by the surgeon to potentially result in serious harm or death if not treated within six months. b. an elderly person with confusion. Novak v. Cobb County Kennestone Hosp. All trademarks are the property of their respective trademark holders. an interdisciplinary conference for which of the following clients? lOMoARcPSD|13596794 2013 ATI RN Comprehensive Predictor Form B Nursing integration (Miami Regional . A. the patient will use their incentive spirometer while in bed, B. the patient will achieve at least a reading of 2500mL on their incentive, C. the patient will ambulate one lap around the nurses station by noon, D. the patient will change positions every 2 hours, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, with a new onset of abdominal pain and fever, Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Psychology (David G. Myers; C. Nathan DeWall), The Methodology of the Social Sciences (Max Weber), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Give Me Liberty! b. The nurse is prioritizing a patients problems based on Maslows Miller v. Rhode Island Hosp., 625 A.2d 778 (R.I. 1993). of informed consent. After anesthesia was administered and the surgery begun, the surgeon noted significant disease associated with the patients fallopian tubes. Blood transfusions in emergency circumstances represent a special case for emergency informed consent situations. b. routinely clean surfaces. The nurse caring for a resident who is seated in his wheelchair calls the The court indicated that if the treating physician had waited for the patients mother to be fully conscious after her major surgery and then discussed the proposed treatment and procedure with her, the patient would have needlessly had to suffer from her painful injury in the interim. 1. Legally, once this informed consent is obtained, the doctrine of volenti non fit injuria (to one who is willing, no wrong is done) applies. d. use a wide base of support., 23. The court indicated that the evaluation of such a potential patient should include whether the patient can understand the medical condition he or she is suffering from, as well as the nature of any proposed medical procedure, including the risks, benefits, and available alternatives. 60. View 2013-ati-rn-comprehensive-predictor-form-b.pdf from NUR 2502 at Rasmussen College. If a physician is faced with an unconscious patient and family members refuse to consent to a necessary blood transfusion, the physician should contact the facilitys general counsel using the prescribed protocol in the hospitals policies and procedures manual. what is the correct answer to: A nurse in the emergency department is assessing a preschool-age child who has bruises on both arms and a spiral fracture of the left ulna. A gown is part of standard precautions when you are likely to As such, providers may be liable to the patient for unauthorized treatment, or even battery,14-17 which may include punitive damages against the provider.10, Limits. 70. Charlottesville, VA: Michie Press; 1997. A client is brought to the emergency department following a motor-vehicle crash. a. McKinney v. Nash, 120 Cal.App.3d 428, 174 Cal.Rptr. The court indicated that the physicians were placed in a position of going forward immediately to save the patients life, or bringing the patient out of his anesthetic state to attempt to obtain consent from the patient and his parents for the amputation. Fox v. Smith, 594 So.2d 596 (Miss. All microorganisms can cause disease. ( Select all that apply), a. in addition to standard precautions. Which type of precaution should the nurse utilize? An unconscious client, bleeding profusely is present in the emergency The court then held for the defendant providers by ordering a new trial using the standards set out by the court. 39. These state laws vary from state to state on how informed consent is obtained in an emergency. Kozup v. Georgetown University, 663 F.Supp. Which of the following actions should the nurse take? Preoperative Nursing Care: Securing Client Belongings. d. use antibiotics properly. Kirby v. Spivey, 307 S.E.2d 538 (Ga.Ct.App. Full vs. 21. 1978). What do you think of the season they are St. Marys Hosp. b. uses logrolling to accomplish position changes from side to side. It is the nurse's responsibility to. Answer call lights promptly Does anyone have the actual 2019 ATI RN leadership proctored exam? 23. Ati exam questions an unconscious client, bleeding profusely is present in the emergency room. c. moves the top half of the patients body first, then the middle, and Medical malpractice. Surgery is required immediately to save the client's life. c. It is a policy for all health care institutes. b. A prior application to a court is appropriate if time permits it, although in the nature of the emergency the only question that can be explored satisfactorily is whether death will probably ensue if medical procedures are not followed."65. going crazy cooped up in here. b. A client who is unconscious and has extensive internal injuries arrives via ambulance to the emergency, Department the staff cannot reach the client's family which of the following permits the staff to proceed, A nurse manager is discussing critical pathway use during a staff meeting which of the following. Registered nurses are responsible and accountable for insuring that all clients and staff members are knowledgeable about clients' rights and responsibilities and they must also insure that this knowledge is applied and integrated into staff practice and that all of the clients are exercising their rights and also fulfilling their responsibilities in terms of healthcare and the healthcare providers and facility. To position the patient San Francisco: Bancroft-Whitney; 1986, pp. b. to use only immobilization techniques necessary to keep only the St. Paul, MN: West Publishing; 1997. Informed consent: Issues for providers. A nursing student is to provide patient care during clinical rotation. When consent, for any reason including the lack of majority, mental incompetence, and unconsciousness, cannot be obtained, other people can provide legal consent for the patient. ED Legal Letter, 2001;12:137-148. important aspect of preventing the spread of infection in the home is: a. immunizations. The nurse's recognition that informed consent was obtained is based on the legality and completeness of the written consent and the required process for obtaining a consent including the client's legal ability to sign it and the client's understanding of the procedure or treatment that they are consenting to. The nurse is caring for a team of patients at a rehab facility. In other words, the patient is presumed to have consented to any and all relevant, medically appropriate care that should be provided to treat the emergent situation at hand. d. Pathogens are microorganisms that are capable of causing disease. When rights clash: The conflict between a patients right to free exercise of religion vs. his childs right to life. Instruct the. Rosato JL, The ultimate test of autonomy: Should minors have a right to make decisions regarding life-sustaining treatment? should be. d. a patient with an infectious wound. The 17-year-old was taken to the ED. It is clear that the patient is incompetent to The nurse should address which patient problem Call the nursing supervisor to initiate to court order for the b. remove the device every 2 hours and change the patient's position. The court dismissed the claims against the providers for lack of informed consent. Nature of proposed treatment or diagnostic strategy. St. Paul, MN: West Publishing; 1997. obtaining an informed consent. Informed consent in the context of spinal anesthesia. Kritzer v. Citron, 224 P.2d 808 (Cal.App. c. cilia. Note, however, that pediatric patients are covered by the federal Emergency Medical Treatment and Labor Act (EMTALA), which pre-empts state law and requires a medical screening examination and stabilization of the patient. The nurse is educating a nursing student about microorganisms. . The nurse has never A nurse Is caring for a client who is unconscious and has an advanced directive indicating no extraordinary measures. A 14-year-old boy was injured when the car in which he was riding with his parents was involved in a motor vehicle accident. Am J Psych 1977; 134:279-284. Acute problems should take priority over chronic problems. . 2. A nurse is planning to develop a standard for removal of indwelling urinary catheters from clients. She worked as a registered nurse in the critical care area of a local community hospital and, at this time, she was committed to become a nursing educator. Younts v. St. Francis Hosp. 24. 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