A nurse is assisting with the care of a 17-year-old client who is married and needs to undergo an emergency appendectomy. Which of the following individuals should the nurse ask to sign the informed consent form?
The client
The client's provider
The client's partner
The client's caregiver
The Correct Answer is A
A. The client: A married 17-year-old is considered emancipated in most states and has the legal authority to provide informed consent for their own medical care, including surgery. The nurse should obtain the client’s signature to confirm understanding and voluntary agreement.
B. The client's provider: The provider performs the procedure and is responsible for explaining the risks, benefits, and alternatives, but does not sign the consent on behalf of the client.
C. The client's partner: A spouse or partner does not have legal authority to consent for an emancipated minor unless specifically granted by law, so the partner’s signature is not required.
D. The client's caregiver: A parent or guardian would normally provide consent for a minor, but an emancipated minor has independent legal authority, making caregiver consent unnecessary in this scenario.
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Related Questions
Correct Answer is D
Explanation
A. Moderate lochia rubra on the pad: Moderate lochia 24 hours postpartum is considered a normal finding as the uterus continues to shed the lining. It typically appears bright red and gradually decreases over the following days, so it does not require immediate reporting.
B. Nipple tenderness with breastfeeding: Nipple tenderness is common in the early postpartum period due to breastfeeding, especially if the latch is not optimal. While it should be addressed to prevent complications, it is not an urgent finding requiring immediate reporting.
C. Hemorrhoids on the rectal area: Hemorrhoids are a frequent postpartum occurrence, often resulting from vaginal delivery or straining during labor. They are uncomfortable but not emergent, so they do not need immediate reporting.
D. Calf edematous and tender: A calf that is swollen, edematous, and tender may indicate a deep vein thrombosis (DVT), which is a potentially life-threatening postpartum complication. This finding requires immediate reporting to the primary RN for timely assessment and intervention.
Correct Answer is D
Explanation
A. Reviewing the results of the client's urinalysis with their parents, without the client's consent: Routine urinalysis results are generally considered part of standard adolescent care and may be shared with parents depending on the clinic policy and state laws, so this may not necessarily breach confidentiality.
B. Reviewing the results of the client's celiac screening with their parents, without the client's consent: Celiac screening is part of general health testing and usually does not fall under sensitive health information; sharing these results with parents is typically permissible in pediatric care.
C. Reviewing the results of the client's complete blood count (CBC) with their parents, without the client's consent: A CBC is standard lab work and does not usually involve sensitive information, so sharing results with parents is generally acceptable and not considered a breach of confidentiality.
D. Reviewing the results of the client's chlamydia screening with their parents, without the client's consent: STI testing is considered confidential for adolescents, and sharing these results without consent violates privacy laws and ethical guidelines. Protecting confidentiality encourages adolescents to seek care and be honest about sexual health.
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