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Zorluk: OrtaLegal and Ethical Practice

A client is at an ambulatory surgery center preparing for a scheduled cataract extraction. The surgeon has previously discussed the procedure with the client. When the practical nurse (PN) presents the consent form for the client to sign, the client states, "I know the doctor explained it, but I forgot if this laser will also correct my astigmatism." Which action should the PN take?

  1. Hold the consent form and notify the surgeon to address the client's question.Cevap
  2. B
    Review the facility's educational brochure with the client to clarify the effects of the laser.
  3. C
    Instruct the client to sign the document now and remind them to ask the surgeon before entering the operating room.
  4. D
    Request that the registered nurse (RN) explain the expected surgical outcomes to the client.

Cevap

Hold the consent form and notify the surgeon to address the client's question.
The correct action is to delay the signing of the consent form and contact the surgeon. For informed consent to be legally valid, the client must fully understand the procedure. The practical nurse's role is strictly to witness the voluntary signature and verify client comprehension. If the client has specific questions about the surgery itself, the nurse must advocate for the client by having the provider return to answer them.

Adım Adım Çözüm

1
Analyze the client's statement.
The client is indicating a lack of full understanding regarding the surgical procedure's outcomes.
Informed consent requires the client to fully understand the procedure, risks, benefits, and alternatives.
2
Determine the practical nurse's scope of practice regarding informed consent.
The nurse acts only as a witness to the signature and an advocate who ensures the client has no remaining questions.
Nurses are not legally authorized to explain medical or surgical procedure details.
3
Select the action that aligns with legal requirements.
The PN must stop the consent process and contact the primary healthcare provider (surgeon) to answer the client's specific medical question.
Only the provider performing the procedure can clarify these details before the client signs the document.

Anahtar Kavram

Informed Consent and the Nurse's Role
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