A nurse is supervising an assistive personnel (AP. who is applying anti-embolic stockings for a client. Which of the following actions by the AP requires intervention by the nurse?

Informed consent is a crucial aspect of the patient's rights and autonomy in healthcare. It involves the voluntary and knowledgeable agreement of a competent individual to undergo a specific medical intervention or procedure. The provider is responsible for explaining the procedure, its potential risks and benefits, alternative options, and any potential complications to the patient. Once the patient has received this information and has had an opportunity to ask questions, they can provide their consent by signing the informed consent form.

"We can accept verbal consent unless the surgical procedure is an emergency." Verbal consent is generally not sufficient for most non-emergency surgical procedures. Informed consent typically requires a written documentation, signed by the patient or their legally authorized representative, to ensure clarity, accountability, and legal protection.

"We require informed consent for all routine treatments." Informed consent is typically required for invasive procedures, surgeries, and treatments with potential risks. Routine treatments that are considered low risk and part of standard care may not require explicit informed consent.

However, it is still important for healthcare providers to inform and involve patients in their care decisions.

"A family member must witness your signature on the informed consent form." While it is often beneficial to have a witness to the patient's informed consent, it does not necessarily have to be a family member. The witness can be any competent individual who can attest to the patient's signing of the form and their understanding of the procedure.

The correct answer is choiced. "Soiled dressings should be placed in a biohazard trash receptacle.".

Choice A rationale:

For a client who has Clostridium difficile, hand hygiene should be performed with soap and water, not an alcohol-based rub, as alcohol does not effectively kill C. difficile spores.

Choice B rationale:

Droplet precautions typically require wearing a mask, not necessarily a gown and gloves. Gown and gloves are more commonly associated with contact precautions.

Choice C rationale:

Following a blood spill, a bleach solution with a ratio of 1 to 10 is recommended, not 1 to 20. This higher concentration ensures effective disinfection.

Choice D rationale:

Placing soiled dressings in a biohazard trash receptacle is correct. This prevents the spread of infection and ensures proper disposal of contaminated materials.