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Difficulty: MediumClient Rights and Advocacy

An older adult client is admitted to the medical-surgical unit and is scheduled for a complex diagnostic biopsy. The client is alert and oriented. Which interventions should the practical nurse implement to uphold this client's rights and maintain a safe care environment? (Select all that apply.)

  1. Close the electronic health record on the in-room computer monitor when stepping away from the bedside.Answer
  2. B
    Detail the specific physiological risks and alternative options if the client expresses hesitation about the biopsy.
  3. Notify the primary healthcare provider promptly if the client decides to withdraw agreement to undergo the biopsy.Answer
  4. D
    Apply soft limb ties to the client's wrists if they become anxious and reach for their intravenous line, prior to attempting diversion tactics.
  5. Confirm that the client is signing the procedure authorization voluntarily and without pressure from family members.Answer
  6. F
    Share the results of the client's preoperative laboratory tests with a visiting neighbor who asks about the client's well-being.

Answer

The correct interventions are closing the electronic health record when stepping away, notifying the provider if the client withdraws agreement for the procedure, and confirming that the client is signing the authorization voluntarily.
The correct actions demonstrate appropriate advocacy, confidentiality, and an understanding of the practical nurse's scope of practice. Securing the electronic health record protects the client's right to privacy. Notifying the provider if the client withdraws consent upholds their right to refuse treatment. Confirming that the signature on the consent form is voluntary fulfills the nurse's ethical and legal role as a witness.

Step-by-Step Solution

1
Analyze the practical nurse's role in informed consent and client advocacy.
The nurse acts as a witness to ensure a voluntary signature and advocates for the client if they wish to refuse treatment. The nurse does not provide primary explanations of surgical risks.
To correctly differentiate between the healthcare provider's responsibilities and the nursing scope of practice regarding consent.
2
Evaluate the requirement for client privacy and confidentiality.
The nurse must secure electronic records and restrict medical information sharing to authorized individuals only.
To comply with federal privacy regulations and protect the client's legal right to medical confidentiality.
3
Assess the protocol for maintaining a safe environment regarding physical restraints.
Less restrictive measures, such as diversion tactics, must always be attempted and documented before applying any physical restraints.
To uphold the client's right to be free from unnecessary physical restraints and ensure a safe, least-restrictive care environment.

Key Concept

Client Rights and Advocacy
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Topics

Client Rights and Advocacy

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