A nurse in an emergency department is caring for a client who is unconscious and requires surgery. There is no one available to give consent for the treatment. Which of the following actions should the nurse take?
Contact the facility's ethics committee for guidance.
Keep the client stable until a family member arrives to give consent.
Obtain consent from the surgeon.
Prepare the client for surgery.
The Correct Answer is D
A. Contacting the ethics committee for guidance is not important in an emergency situation since it may result in delays putting the patient in danger.
B. Keeping the client stable is important, but obtaining consent from the appropriate channels is necessary before proceeding with surgery.
C. The surgeon cannot provide consent on behalf of the client.
D. The nurse should prepare the client for surgery. This is based on the legal principle of implied consent in emergency situations where immediate action is necessary to preserve life or prevent significant harm. Generally, if the client's life is in danger and urgent treatment is necessary, consent may be implied on the basis that the treatment is in the best interest of the client. The nurse's priority is to ensure the client's stability and prepare them for surgery while the medical team takes the necessary steps to proceed with the treatment in the absence of explicit consent.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Offering to discuss what the client can expect during their stay provides support and helps address the client's anxiety by providing information.
B. Asking why the client is scared may put pressure on the client and does not provide immediate reassurance or support.
C. While acknowledging common feelings of anxiety is helpful, it may not directly address the client's concerns or provide reassurance.
D. Providing blanket reassurance without addressing the client's specific concerns may not effectively alleviate their anxiety and may come across as dismissive.
Correct Answer is C
Explanation
A. Developing close personal relationships is a common aspect of adult life and may not necessarily indicate a change in the family system.
B. Focusing on a career is a common aspect of adult life and may not necessarily indicate a change in the family system.
C. Assuming the responsibilities of a parent can indicate a shift in family dynamics, such as when a child becomes a caregiver for an aging parent.
D. Experiencing physical changes is a normal part of aging but may not necessarily indicate a change in the family system.
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