a client scheduled for surgery cannot sign the operative consent form because he has been sedated with opioid analgesics the nurse should take which

ATI RN

ATI RN Custom Exams Set 2

1. A client scheduled for surgery cannot sign the operative consent form because he has been sedated with opioid analgesics. The nurse should take which best action regarding the informed consent?

A. Obtain a court order for the surgery
B. Sign the informed consent on behalf of the client
C. Send the client to surgery without the consent form being signed
D. Obtain a telephone consent from a family member, with the consent being witnessed by two healthcare providers

Correct answer: D

Rationale: In situations where a client is unable to sign the consent form, obtaining a telephone consent from a family member, with the consent being witnessed by two healthcare providers, is the best course of action. This ensures that the client's best interests are considered and that proper authorization is obtained. Option A, obtaining a court order, is not necessary in this scenario and could delay the surgery. Option B, signing the consent on behalf of the client, is not appropriate as it may raise ethical and legal concerns. Option C, sending the client to surgery without a signed consent form, is not advisable as it violates the principles of informed consent and places the client at risk.

2. What is a primary intervention for managing hyperphosphatemia?

A. Increasing calcium intake
B. Increasing phosphorus intake
C. Decreasing calcium intake
D. Administering phosphate binders

Correct answer: D

Rationale: Administering phosphate binders is a primary intervention for managing hyperphosphatemia. Phosphate binders work by binding phosphorus in the gut, preventing its absorption. Increasing calcium intake (Choice A) is not a primary intervention for hyperphosphatemia and can actually exacerbate the condition by potentially raising calcium levels. Increasing phosphorus intake (Choice B) is contraindicated in hyperphosphatemia. Decreasing calcium intake (Choice C) may help manage hypercalcemia but is not the primary intervention for hyperphosphatemia.

3. What are three major causes of atherosclerosis?

A. Hyperthyroidism, underweight, and poor appetite
B. High blood cholesterol, high blood pressure, and cigarette smoking
C. Constipation, peptic ulcer disease, and pancreatitis
D. Kidney failure, edema, and sodium retention

Correct answer: B

Rationale: The correct answer is B: High blood cholesterol, high blood pressure, and cigarette smoking are three major causes of atherosclerosis. Atherosclerosis is mainly attributed to the buildup of cholesterol-rich plaques in the arteries, high blood pressure causing damage to the arterial walls, and the harmful effects of cigarette smoking on blood vessels. Choices A, C, and D are incorrect because they do not directly relate to the primary causes of atherosclerosis.

4. The nurse is planning to provide education about foods containing thiamine to a group of clients. Which food high in thiamine should the nurse include?

A. Fish
B. Pork
C. Beef
D. Eggs

Correct answer: B

Rationale: The correct answer is B: Pork. Pork is high in thiamine, which is important for preventing thiamine deficiency. Thiamine, also known as vitamin B1, is essential for the proper functioning of the nervous system and metabolism. While fish, beef, and eggs are nutritious foods, they are not as high in thiamine as pork. Fish is more commonly known for its omega-3 fatty acids, beef for its iron content, and eggs for being a good source of protein and other nutrients.

5. The Army Medical Department has four major functions. Three are prevention, treatment, and evacuation. What is the fourth?

A. Preparation
B. Training
C. Mobilization
D. Selection

Correct answer: C

Rationale: The correct answer is C, 'Mobilization.' Mobilization is the fourth major function of the Army Medical Department. This involves preparing and organizing medical resources and personnel for deployment during military operations. Choices A, B, and D are incorrect because while they are important aspects in military healthcare, they do not represent the fourth major function of the Army Medical Department as specifically requested in the question.