A client who is unconscious and has extensive internal injuries arrives via ambulance to the emergency department. The staff cannot reach the client's family. Which of the following permits the staff to proceed with emergency surgery?
Good Samaritan Act
Nonmaleficence
Living will
Implied consent
The Correct Answer is D
A. The Good Samaritan Act provides legal protection to individuals who assist those who are injured or in danger but does not specifically apply to emergency medical procedures performed by healthcare providers.
B. Nonmaleficence refers to the ethical principle of doing no harm, which supports the need for treatment but does not provide the legal basis for proceeding without consent.
C. A living will outlines a person's wishes regarding medical treatment in the event they become unable to communicate, but it does not specifically grant permission for emergency surgery when the individual is unconscious.
D. Implied consent is applicable in emergency situations where the patient is unable to give consent, and it is assumed that they would consent to necessary life-saving procedures, such as emergency surgery.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Meeting with the nursing staff to review the policy regarding advance directives addresses the systemic issue of documentation. This action helps to ensure that all staff are aware of the importance of advance directives and the necessity for proper documentation moving forward.
B. Reinforcing potential consequences is important but may not directly resolve the immediate lack of documentation in the records. Education without action does not change current practice.
C. Asking nurses to obtain the information is a necessary step, but it is essential first to address the overall understanding and policy compliance with the entire nursing staff.
D. Reminding nurses to obtain this information during the admission process is a good practice, but it does not address the current records that are lacking documentation.
Correct Answer is B
Explanation
A. While repositioning is important to prevent pressure ulcers and promote circulation, it is not the priority intervention in this context.
B. Using an incentive spirometer is crucial for preventing atelectasis and promoting lung expansion following surgery, making it a priority intervention.
C. Ensuring adequate fluid intake is important for hydration and recovery but does not take precedence over respiratory care in the postoperative setting.
D. Increasing the amount of time spent out of bed is beneficial for recovery but should follow ensuring proper respiratory function and lung expansion, which is addressed by the use of the incentive spirometer.
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