Author Question: The nurse is preparing for the admission of an infant who will have several procedures performed. In ... (Read 53 times)

kellyjaisingh · **on:** Jun 27, 2018

The nurse is preparing for the admission of an infant who will have several procedures performed. In which situation is informed consent required? Select all that apply.

a. Catheterized urine collection
b. IV line insertion
c. Oxygen administration
d. Lumbar puncture
e. CT scan with contrast

Question 2

What is the appropriate priority nursing action for the infant with a CHD who has an increased respiratory rate, is sweating, and is not feeding well?

a. Recheck the infant's blood pressure.
b. Alert the physician.
c. Withhold oral feeding.
d. Increase the oxygen rate.

lorealeza · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

D, E
Feedback
Correct Informed consent is required for invasive procedures that involve risk to a
child, such as a lumbar puncture, chest tube insertion, and bone marrow
aspirations. A consent is also required for a CT scan with contrast.
Incorrect Informed consent is not required for procedures that are covered under the
general consent to treat that is signed at admission by a parent or a
guardian. These procedures all fall under this category.

Answer to Question 2

B
Feedback
A Although this may be indicated, it is not the priority action.
B These are signs of early congestive heart failure, and the physician should be
notified.
C Withholding the infant's feeding is an incomplete response to the problem.
D Increasing oxygen may alleviate symptoms, but medications such as digoxin and
furosemide are necessary to improve heart function and fluid retention. Notifying
the physician is the priority nursing action.