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Zorluk: OrtaAdvance Directives and Informed Consent

A practical nurse (PN) on a progressive care unit is preparing a client for a scheduled cardiac catheterization. The informed consent form is already signed and placed in the medical record. While assisting the client into a hospital gown, the client states, 'I am so nervous about them putting that tube down my throat to look at my heart again.' Which action should the PN take?

  1. Notify the healthcare provider that the client requires further explanation regarding the procedure.Cevap
  2. B
    Clarify the procedure by explaining that a cardiac catheterization involves accessing a blood vessel in the arm or groin.
  3. C
    Proceed with completing the preoperative checklist because the informed consent document has already been signed.
  4. D
    Reassure the client that the procedural team is highly experienced and will keep them comfortable.

Cevap

Notify the healthcare provider that the client requires further explanation regarding the procedure.
Informed consent is only valid when the client fully understands the procedure, its risks, benefits, and alternatives. The client's statement demonstrates a clear misunderstanding of a cardiac catheterization. Because it is the healthcare provider's legal responsibility to explain the procedure, the PN must halt the preoperative process and notify the provider to clarify the information.

Adım Adım Çözüm

1
Analyze the client's statement.
The client believes a tube will be put down their throat (likely confusing the procedure with a transesophageal echocardiogram or endoscopy), indicating they do not understand what a cardiac catheterization entails.
Identifying client misunderstandings is crucial for ensuring that informed consent is truly informed and valid.
2
Determine the legal responsibility of the practical nurse (PN).
The PN's role is to witness the signature and verify voluntary consent, not to explain the procedure itself.
Explaining the risks, benefits, and details of a procedure is strictly the responsibility of the healthcare provider performing it.
3
Select the appropriate nursing action.
The PN must notify the healthcare provider so they can return and clarify the procedure for the client before any further preoperative steps are taken.
This ensures legal compliance and prioritizes client advocacy and safety.

Anahtar Kavram

The practical nurse's role in informed consent is limited to witnessing the signature and ensuring the client voluntarily agrees. If a client demonstrates a lack of understanding, the provider must be notified to provide further explanation.
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Advance Directives and Informed Consent

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