A practical nurse (PN) is assisting in the preoperative staging area. A client scheduled for an elective cholecystectomy has already signed the surgical consent form. While the PN is taking vital signs, the client states, 'I cannot do this. I have decided to cancel the surgery.' Arrange the following actions in the chronological order the PN should perform them.
- 1Ask open-ended questions to clarify the client's concerns and confirm their intent to withdraw consent.
- 2Stop the preoperative preparation process and withhold any prescribed preoperative sedatives.
- 3Notify the surgeon and the supervising registered nurse (RN) that the client has revoked consent.
- 4Document the client's exact words, the refusal of treatment, and the provider notification in the medical record.
Cevap
The correct sequence is to first assess and clarify the client's intent, then halt the preoperative preparation, subsequently notify the surgeon and RN, and finally document the event in the medical record.
When a client revokes consent, the practical nurse must follow the nursing process. Assessment comes first to clarify the client's statement and ensure they mean to cancel. Next, implementation ensures immediate safety by stopping all preparations and holding sedatives. Then, communication ensures the provider is aware, as the surgeon must speak with the client. Finally, accurate documentation provides a permanent legal record of the client's decision.
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Anahtar Kavram
A competent client has the right to revoke informed consent at any time; the nurse must assess the refusal, ensure client safety, notify the provider, and document the event.