A nurse in an emergency department is caring for a client who is unconscious and requires surgery. There is no one available to give consent for the treatment. Which of the following actions should the nurse take?
Prepare the client for surgery.
Contact the facility's ethics committee for guidance.
Keep the client stable until a family member arrives to give consent.
Obtain consent from the surgeon.
None
None
The Correct Answer is A
A. In emergency situations where the client is unconscious and requires immediate life-saving surgery, implied consent is assumed. The nurse should prepare the client for surgery without waiting for family members or a formal consent process. Delaying treatment could jeopardize the client's life.
B. Contacting the ethics committee could delay the urgent care needed in an emergency situation. Immediate action should be taken in the best interest of the client.
C. Waiting for a family member to arrive could delay critical care, which may lead to worsening of the client's condition or even death.
D. The surgeon does not need to provide consent. It is the healthcare team's responsibility to act in the client's best interest when the client is unable to provide consent in an emergency.
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Related Questions
Correct Answer is D
Explanation
A. Urinary catheter care might be important but is less urgent than maintaining airway patency through endotracheal suctioning.
B. Enteral feeding is important for nutrition, but it's not as immediately critical as managing the client's airway.
C. Wound irrigation is important for wound care but takes precedence after addressing immediate airway concerns.
D. Endotracheal suctioning is crucial for maintaining a patent airway and takes priority due to its impact on breathing and oxygenation.
Correct Answer is A
Explanation
A. Anaphylactic reactions can cause a sudden and severe drop in blood pressure, which is a potentially life-threatening symptom. It's a hallmark sign of anaphylaxis.
B. A feeling of swelling in the feet might indicate a localized reaction but is less specific to anaphylaxis.
C. Pain at the injection site might occur due to local irritation but isn't typically a primary sign of an anaphylactic reaction.
D. A sudden decrease in heart rate is not a typical sign of an anaphylactic reaction.
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