A practical nurse (PN) is caring for a client on a telemetry unit who is scheduled for a permanent pacemaker insertion in one hour. The client has already signed the informed consent document. While the PN is checking the client's morning vital signs, the client states, "I cannot go through with this. I do not want the pacemaker." Place the following nursing actions in the correct chronological order.
- 1Acknowledge the client's statement and explore their reasons for refusing the procedure.
- 2Withhold any prescribed preoperative sedative medications.
- 3Notify the healthcare provider and the charge nurse immediately about the client's decision.
- 4Document the client's exact words of refusal and the provider notification in the medical record.
Cevap
The correct sequence is to first explore the client's statement, then withhold preoperative sedatives, followed by notifying the healthcare provider and charge nurse, and finally documenting the events in the medical record.
The correct sequence follows the nursing process and legal guidelines for informed consent. The PN first assesses the situation (data collection), implements immediate safety measures (withholding sedatives), communicates the findings to the responsible provider (reporting), and finally records the events (documentation).
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Anahtar Kavram
A competent client has the right to withdraw informed consent at any time. The PN's role is to verify the refusal, ensure client safety, report the decision to the provider, and document the event accurately.
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