A nurse in the emergency department is preparing to care for a client who arrived via ambulance. The client is disoriented and has a cardiac arrhythmia. Which of the following actions should the nurse take?
Notify risk management before initiating treatment.
Proceed with treatment without obtaining written consent.
Contact the client's next of kin to obtain consent for treatment.
Have the client sign a consent for treatment.
The Correct Answer is B
A. Notifying risk management before initiating treatment is not necessary in this emergent situation; patient care should take precedence.
B. In emergent situations where a patient lacks decision-making capacity and requires
immediate treatment to prevent harm, consent for treatment can be assumed based on the principle of implied consent.
C. Contacting the client's next of kin for consent might delay necessary treatment for the disoriented and arrhythmic client, which could be harmful.
D. Having the client sign a consent for treatment might not be feasible or appropriate if the client is disoriented and lacks decision-making capacity in an emergency situation.
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Related Questions
Correct Answer is C
Explanation
A. Informing the unit manager is essential but not the first immediate action when a client is improperly restrained.
B. Speaking with the AP about the incident is important, but the priority is to ensure the client's safety and well-being.
C. Removing the restraints from the client's wrists is the first action to address the
inappropriate application of restraints without a prescription to ensure the client's safety and prevent harm.
D. Reviewing the chart for nonrestraint alternatives for agitation is important, but the priority is to address the immediate issue of the improperly applied restraints to the client.
Correct Answer is A
Explanation
A. Recommending that the newly licensed nurse take time to plan at the beginning of the shift can help improve focus and organization, allowing for better task completion.
B. Offering to take over care while he takes a break might provide immediate relief but doesn't address the underlying issue of focus and task completion.
C. Advising to complete less time-consuming tasks first might not necessarily address the root cause of the difficulty in focusing.
D. Asking other staff members to take over tasks doesn't encourage skill development or help the newly licensed nurse develop coping strategies for focus and task completion.
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