A practical nurse (PN) is caring for a client with newly diagnosed end-stage renal disease on a medical-surgical unit. The provider has just discussed the need for hemodialysis and left the consent form at the bedside for the client to sign. When the PN enters the room, the client states, "The doctor said I need a catheter placed in my chest, but I am terrified of having a tube near my heart. What if I just take medication instead?" Which of the following is the most appropriate action for the PN to take?
- AOutline the medical differences between dialysis and medication therapy to alleviate the client's fears.
- BRequest the registered nurse (RN) to explain the risks and alternatives to the client.
- Notify the healthcare provider that the client requires further clarification about treatment alternatives.Cevap
- DProvide the client with a facility-approved educational booklet on hemodialysis to read before signing.
Cevap
Notify the healthcare provider that the client requires further clarification about treatment alternatives.
The client is asking a specific question about medical treatment alternatives. It is the legal responsibility of the healthcare provider performing the procedure to explain risks, benefits, and alternatives. The most appropriate action is to advocate for the client by notifying the provider so they can address these concerns before the consent document is signed.
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Anahtar Kavram
During the informed consent process, it is the sole responsibility of the healthcare provider to explain the procedure, its risks, benefits, and any alternatives. The nurse's role is to act as a witness and advocate by notifying the provider if the client has questions.