A nurse is caring for a 16-year-old client who was in a motor-vehicle crash and needs surgical intervention immediately. The staff cannot reach either of the client's parents. The nurse should identify that which of the following is true about obtaining consent?
The surgeon can obtain informed consent from the client's adult cousin.
The surgeon should delay surgery until he can obtain informed consent from a parent.
The surgeon can proceed with the surgery by invoking implied consent.
The client's pediatrician can obtain implied consent.
The Correct Answer is C
A. "The surgeon can obtain informed consent from the client's adult cousin." Informed consent must be obtained from a parent or legal guardian for a minor. An adult cousin does not have the legal authority to provide consent unless they are the legal guardian of the minor, which is not indicated in this scenario.
B. "The surgeon should delay surgery until he can obtain informed consent from a parent." Delaying surgery in an emergency situation could endanger the client's life or health. In such cases, waiting for parental consent is not advisable, and other legal mechanisms, such as implied consent, should be used to proceed with necessary treatment.
C. "The surgeon can proceed with the surgery by invoking implied consent." In emergency situations where the client is a minor and the parents or legal guardians are not available to provide consent, the principle of implied consent allows healthcare providers to perform life-saving procedures without explicit consent. The law recognizes that in emergencies, delaying treatment to obtain consent could result in harm, so the surgeon can proceed with the surgery.
D. "The client's pediatrician can obtain implied consent." The concept of implied consent is not something that can be "obtained" by another healthcare provider. It is a legal principle that allows healthcare providers to act in the best interest of the client during an emergency when consent cannot be obtained. The pediatrician does not have a role in obtaining or invoking implied consent in this context; it is the responsibility of the surgeon performing the emergency procedure.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Initiate a 24-hr urine collection for a client who has end-stage kidney disease:
While a 24-hour urine collection is important for assessing kidney function, it is not an urgent task and can be scheduled at a later time without compromising the client's immediate well-being.
B. Change the dressing for a client who has a decubitus ulcer:
Changing the dressing for a decubitus ulcer is important for wound care, but it is not as urgent as addressing respiratory distress in a client with COPD.
C. Administer an antibiotic for a client who has methicillin-resistant Staphylococcus aureus:
Administering an antibiotic for a client with a methicillin-resistant Staphylococcus aureus (MRSA) infection is important, but it is not as immediately critical as ensuring adequate oxygenation in a client with COPD. Respiratory issues take precedence in the hierarchy of priorities.
D. Initiate oxygen therapy via nasal cannula for a client who has COPD.
The priority should be given to tasks that address immediate threats to the client's well-being or safety. In this scenario, initiating oxygen therapy for a client with COPD is a priority because it addresses respiratory distress and hypoxia, which are critical concerns in individuals with COPD. Respiratory interventions take precedence to ensure adequate oxygenation.
Correct Answer is ["500"]
Explanation
To calculate the mL/hr for the lactated Ringer's IV infusion over 30 minutes, you can use the following formula:
Rate (mL/hr)=Volume (mL)/Time (hr)
In this case:
Rate=250 mL/ 0.5 hr
Rate=500mL/hr
Therefore, the nurse should set the IV pump to deliver 500 mL/hr for the lactated Ringer's IV infusion over 1 hour.
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