Q1 Which is the best site, with rationale, for an IV Cannula?…

Question Answered step-by-step Q1 Which is the best site, with rationale, for an IV Cannula?… Q1 Which is the best site, with rationale, for an IV Cannula?Select one:a.Wherever there is a venous valve – as it stabilises the cannula  b.In the dominant arm, to remind the patient of its presence  c.In the forearm, as it avoids joints  d.In the affected arm of a stroke patient, so that they cannot feel the insertion pain  Q2 Paul Kossof is a 55 year old scheduled for a routine total hip replacement.  As part of his pre-operative workup he requires a virology screen (i.e. HIV, Hep B/C); Full Blood Count and Coagulation blood test.  A nurse enters his room with the phlebotomy trolley and, being used to blood tests, he lays out his right arm and continues to play a game on his phone with his left arm.The nurse, not wanting to interrupt his game takes his blood without further conversation.What are the implications here, in terms of consent?Select one:a.The nurse should have had asked Paul to sign a consent form for this practice due to its highly invasive nature and potential for serious complications  b.The nurse should have gained verbal consent but any other issues around the test are the responsibility of the surgeon and their team  c.He is clearly implying consent by laying out his right arm – therefore the nurse has complied with the ethics of consent  d.The nurse should have gained verbal consent and assessed Paul’s understanding of the implications of an adverse test finding   Q3 Mrs Jane Ng is admitted for investigation of GIT bleeding.  She is described in handover as a ‘difficult patient’ – she has early stage dementia but is usually lucid and orientated with periods of confusion in the evening.During the morning she is being prepped for theatre (a gastroscopy).  She has consented to the operation, is orientated and packing her e-book reader and glasses into her locker when her nurse approaches her and states loudly “you need to have your pre-op bloods now, Mrs Ng!” You observe a defiant Mrs Ng refuse – as she states “I had my blood taken  last night!”.  You observe the nurse who is responsible for her point her finger and warn Mrs Ng that she doesn’t take any nonsense and that she must have a her blood taken “or else”.   Mrs Ng holds out her arm for the blood to be taken and says OK then   – take my blood, if you must”.   What has happened here in terms of consent? Select one:a.Mrs Ng has dementia and therefore is not able to consent; therefore, persuading the patient to have the test in this manner is valid.  b.Mrs Ng has been coerced into assenting to the procedure so this does not constitute valid consent  c.Mrs Ng has given verbal consent to the procedure so this constitutes valid consent  d.The doctors did not gain consent for the blood test at the same time as the consent for the operation, therefore this does not constitute valid consent for the procedure   Q4 A patient is admitted for treatment after motor vehicle accident and he is aggressive and demands to be released from the hospital.  He needs to be treated for blood loss and further examination of severe abdominal injuries and an obvious head injury.As you go to put up the first of many bags of IV blood he looks at you and firmly states “I do not consent to this intervention.  Do not give me this IV fluid”.The doctor leading the resuscitation and the senior nurse both state “start the fluid or he will likely not survive”.Given what you know in  this scenario what is your best course of action?Select one:a.Clinicians can always administer life saving treatment in the event of a severe injury – eve if the patient refuses, so the blood should be administered.  b.The presentation of the patient means that there is doubt as to his capacity to consent fully to his treatment – therefore the blood can be administered  c.You are obliged to follow the orders of the team leader and the consequences of refusal would be the death of the patient – therefore you must infuse the blood for these reasons  d.Your first obligation is to the autonomy of the patient – it would be ethically wrong to commence the IV blood at this time  Q5 A 15 year old student has parents who refuse to allow their children to be vaccinated.  The student goes to the GP and asks to be vaccinated against measles as there have been a series of students diagnosed with the disease and one has had life-threatening complications.  He is fearful of contracting the disease.The GP consults with the student and writes a script for the measles vaccine for you, the Immunisation Nurse to administer. What principle allows you to vaccinate the child knowing that his guardian would not consent?  Select one:a.If the child being mature and intelligent enough they are considered to have autonomy  b.Although legally a minor, a 13 old, or above, is considered mature enough for medical consent  c.The measles is a virulent strain and this overrides any consent issues  d.Vaccination is evidence based and clinicians should always act using the best evidence  Q6 A patient asks you why they need to wear TED stockings – what is the best response?Select one:a.They replace the need for interventions that have significant complications – like anti-coaulant injections  b.They decrease stasis of blood in the calf veins – decreasing risk of post op complications  c.They reduce falls risk, as they using them prevents the need for patients to mobilise post operatively  d.They decrease flow of blood to the lower leg – so preserving the supply to vital organs post-operatively  Q7 A patient returns from an abdominal procedure with a drain in-situ.   The drain should be monitored regularly for the quantity and quality of drainage.   Which of these findings would alert you to a complication post-operatively?Select one:a.thick yellow discharge appearing day 3 post-operatively  b.cessation of drainage on day 3 post-operatively  c.Haemo-serous fluid of 50 mls collecting in the first 4 hours post-operatively  d.A total of 300 mls of discharge for the  3 days post-operatively                      Health Science Science Nursing NSG 2ANA Share QuestionEmailCopy link Comments (0)