A competent adult client is admitted to the medical-surgical unit for a scheduled high-risk cardiac catheterization. While the practical nurse (PN) is reviewing the final pre-procedure checklist, the client suddenly states, 'I have changed my mind. I am not having this done.' Arrange the following actions the PN should take in the correct order of priority.
- 1Cease all ongoing physical preparations for the cardiac procedure.
- 2Ask open-ended questions to explore the client's specific concerns.
- 3Notify the registered nurse (RN) and the performing healthcare provider.
- 4Wait for the healthcare provider to counsel the client on the medical consequences of refusal.
- 5Document the client's exact statements and the actions taken in the health record.
Answer
The correct priority sequence is: 1) Cease all ongoing physical preparations, 2) Ask open-ended questions to explore the client's concerns, 3) Notify the registered nurse and healthcare provider, 4) Wait for the healthcare provider to counsel the client, and 5) Document the entire event.
When a client revokes consent, the immediate priority is to stop any related interventions to respect client autonomy and prevent battery. Next, the nurse explores the client's reasoning to understand the sudden change. The nurse then escalates the situation by notifying the RN and provider. The provider must then explain the clinical risks of refusing the procedure, as this is outside the PN's scope. Finally, accurate documentation is completed to reflect the client's wishes, the provider's involvement, and the protection of legal rights.
Step-by-Step Solution
Key Concept
Informed Consent Revocation and PN Scope of Practice
Estimated Time:1m 30s