A nurse in the emergency department is assessing a client who is unconscious following a motor-vehicle crash. The client requires immediate surgery. Which of the following actions should the nurse take?
Transport the client to the operating room without verifying informed consent.
Delay the surgery until the nurse can obtain informed consent.
Obtain telephone consent from the facility administrator before the surgery.
Ask the anesthesiologist to sign the consent.
The Correct Answer is A
A. In emergency situations where immediate surgery is required to preserve life or prevent serious harm, and the client is unconscious and unable to provide consent, treatment may proceed without informed consent under implied consent.
B. Delaying surgery to obtain consent could jeopardize the client’s life or outcome, and is not ethically or legally appropriate in a true emergency.
C. Telephone consent from a facility administrator is not a substitute for legal consent. Administrators are not authorized to give medical consent for clients.
D. The anesthesiologist cannot legally provide consent on behalf of the client; this would be a breach of ethical and legal standards.
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Related Questions
Correct Answer is ["A","C","E"]
Explanation
A. This aligns with the ethical principle of nonmaleficenceand beneficence, ensuring all clients receive appropriate care and pain management without bias.
B.Accepting gifts or meals from clients or their families can pose a conflict of interestand compromise professional boundaries. This action violates ethical standards.
C. Delegating tasks based on appropriate scope of practice reflects safe and ethical nursing delegation. LPNs are permitted to remove IVs in most settings.
D.Packed red blood cells (PRBCs) must be verified by two licensed professionals(typically RNs). Having an assistive personnel double-check violates safety protocols and ethical standards.
E. Ongoing learning is part of professional accountabilityand ethical nursing practice to maintain competence.
Correct Answer is D
Explanation
A. While providers have expertise, this statement does not support the client's autonomy or encourage informed decision-making.
B. Suggesting the client talk with family can be helpful, but it still shifts decision-making away from the client’s own preferences.
C. Offering reassurance without information does not support the client’s decision-making process.
D. Providing additional resources empowers the client to make an informed decision and supports autonomy, which is essential in client-centered care.
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