A nurse in the emergency department is preparing to obtain informed consent for surgery from a client who received a meperidine hydrochloride IV during transport from a rural hospital. Which of the following actions should the nurse take to obtain consent for surgery?

Correct Answer: B

Rationale: Informed consent requires the client to fully understand the procedure, risks, and alternatives, which is compromised if they've received meperidine, an opioid that impairs cognition and judgment. Obtaining consent from a relative is the appropriate action when the client's capacity is altered, ensuring a legally and ethically sound decision-making process. Having the client sign immediately risks invalid consent due to impaired comprehension, while waiting for the medication to wear off could delay critical surgery, potentially harming the client. Proceeding without consent is only permissible in life-threatening emergencies with no surrogate available, which isn't specified here. Contacting a relative upholds the ethical principle of autonomy by proxy, protects the client's rights, and aligns with legal standards, balancing urgency with the need for informed decision-making in an emergency setting.

Correct Answer: C

Rationale: Both listening and negotiation are skills, not just one B, D). Nurse leaders like resolving disputes use these, contrasting with silence. In healthcare, it fosters teamwork, aligning leadership with collaboration.

Correct Answer: B

Rationale: Nursing focus promotes the profession, unlike distinctions, physicians, or services. Nurse leaders ensure this like nurse stories contrasting with generic content. It's crucial in healthcare for retention, aligning leadership with workforce branding.

Correct Answer: A

Rationale: Low satisfaction with promotion and salaries key retention drivers suggests staff aren't motivated to stay, risking turnover despite liking peers and schedules. Relationships don't need fixing, and action is possible (e.g., career paths), countering hopelessness. Dissatisfaction isn't about peers or schedules but growth and pay, signaling a need for incentives to boost loyalty, a common challenge in nursing where advancement matters.

Correct Answer: B

Rationale: For suspected hemolytic uremic syndrome (HUS), asking about food in 72 hours fits, not allergies, travel, or sore throat. HUS often follows E. coli from undercooked meat or produce diet history pinpoints this. Leadership asks this imagine bloody diarrhea; it guides diagnosis, ensuring safety. This reflects nursing's investigative role, aligning with pediatric emergencies effectively.

Correct Answer: A

Rationale: For allopurinol in gout, monitor uric acid, not glucose, potassium, or WBC. It lowers uric acid tracking prevents flares. Others are secondary. Leadership watches this imagine less pain; it ensures efficacy, aligning with gout care effectively.

Correct Answer: C

Rationale: Signs/gestures are non-verbal, unlike negotiation, decision-making, or both. Nurse leaders like reading body language leverage this, contrasting with verbal. In healthcare, it enhances understanding, aligning leadership with subtle cues.

Correct Answer: B

Rationale: Theory X assumes low satisfaction , not normalcy, responsibility, or self-motivation. Nurse managers using X like micromanaging contrast with Y's trust. In healthcare, this view may limit autonomy, aligning leadership with control.

Correct Answer: A

Rationale: Proactive and caring behaviors signal a positive culture Joey seeks, unlike competition, opposition, or blind obedience. In his unit, nurses aiding each other like covering shifts boost morale and care quality. Leadership cultivates this, enhancing patient satisfaction in a tertiary setting where teamwork trumps rivalry, ensuring a supportive environment drives both staff and hospital success.