A practical nurse (PN) enters the room of a client on a pulmonary unit to administer a prescribed pre-procedure sedative. The client, who is scheduled for a bronchoscopy in one hour, states, "I have decided not to go through with this test today." In which order should the PN perform the following actions? Arrange the actions from first to last.
- 1Withhold the administration of the pre-procedure sedative medication.
- 2Ask the client to elaborate on their decision and express any concerns.
- 3Notify the healthcare provider and the charge nurse about the client's decision.
- 4Document the client's exact statement and the actions taken in the medical record.
Answer
The correct sequence is to first withhold the medication, then clarify the client's concerns, followed by notifying the healthcare provider, and finally documenting the event.
In any situation where a client revokes consent, the absolute first priority is to stop the procedure or any preparatory actions (such as administering sedatives). Next, the nurse should assess the situation by asking the client to clarify their feelings. Third, the nurse must communicate the refusal to the healthcare provider, who is responsible for discussing the medical implications with the client. Finally, the nurse must document the entire event objectively in the medical record.
Step-by-Step Solution
Key Concept
Clients have the right to revoke informed consent at any time; the PN must prioritize withholding interventions and notifying the provider who is responsible for explaining the risks of refusal.
Estimated Time:1m 30s