A practical nurse (PN) is admitting a client for an elective procedure at an ambulatory care center. As the PN prepares the paperwork, the client states, "I thought about it all night, and I absolutely refuse to go through with this today." In what order should the PN take the following actions? Arrange the actions in the correct chronological sequence.
- 1Stop the preoperative admission process and withhold any ordered preoperative medications.
- 2Ask open-ended questions to clarify the client's decision and verify their intent to withdraw consent.
- 3Notify the healthcare provider and the supervising registered nurse (RN) of the client's decision.
- 4Document the client's exact statement and the subsequent provider notification in the electronic health record.
Answer
The correct sequence is to first stop the admission process, then clarify the client's intent, followed by notifying the provider and RN, and finally documenting the event.
A client has the right to withdraw informed consent at any time. The PN must immediately prioritize client safety by halting the procedure preparation. Next, the PN clarifies the statement to ensure accurate data collection. The PN then advocates for the client by notifying the provider, who is responsible for explaining the medical consequences of refusal. Finally, the PN documents the chronological events to maintain an accurate legal health record.
Step-by-Step Solution
Key Concept
Client's Right to Revoke Consent