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?

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.

Prepare the client for surgery.

Answer and Explanation

The Correct Answer is D

A.   Contacting the ethics committee for guidance is not important in an emergency situation since it may result in delays putting the patient in danger.
B.   Keeping the client stable is important, but obtaining consent from the appropriate channels is necessary before proceeding with surgery.
C.   The surgeon cannot provide consent on behalf of the client.
D.   The nurse should prepare the client for surgery. This is based on the legal principle of implied consent in emergency situations where immediate action is necessary to preserve life or prevent significant harm. Generally, if the client's life is in danger and urgent treatment is necessary, consent may be implied on the basis that the treatment is in the best interest of the client. The nurse's priority is to ensure the client's stability and prepare them for surgery while the medical team takes the necessary steps to proceed with the treatment in the absence of explicit consent.

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Correct Answer is A

Explanation

A. Using a straw with thickened liquids can increase the risk of aspiration for a client with dysphagia.
B. Tucking the chin can help prevent aspiration and is a recommended technique for clients with dysphagia.
C. Taking frequent breaks while eating can be a beneficial strategy for clients with dysphagia to prevent fatigue and aspiration.
D. Adjusting the head of the bed to 90° is a recommended position for clients with dysphagia to aid in swallowing.

A. Flex the client's knees. B. Roll the client as one unit in a smooth, continuous motion. C. Place the client on the side of the bed nearest the direction they will be turned. D. Place the client's arms at their sides.

Correct Answer is B

Explanation

A. Flex the client's knees:
While knee flexion can reduce back strain in some situations (e.g., when lying supine), it is not recommended during repositioning for a back injury as it may cause unnecessary spinal movement.

B. Roll the client as one unit in a smooth, continuous motion:
Logrolling maintains spinal alignment and reduces stress or twisting of the spine, which is crucial for clients with back injuries or spinal conditions.

C. Place the client on the side of the bed nearest the direction they will be turned:
The client should be positioned centrally on the bed to prevent falls and ensure adequate space for a safe, controlled logroll.

D. Place the client's arms at their sides:
The client’s arms should typically be crossed over their chest to prevent them from becoming trapped or causing unnecessary spinal movement during the roll.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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