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Zorluk: OrtaLegal and Ethical Practice

While working on a medical-telemetry unit, a practical nurse prepares a client for an upcoming cardiac catheterization. The client states, "The physician told me all about the procedure this morning, but my memory is terrible and I cannot recall the potential complications." The client has not yet signed the informed consent document. Which of the following is the most appropriate action by the nurse?

  1. Contact the physician to speak with the client again prior to obtaining the signatureCevap
  2. B
    Read the list of risks printed on the consent form to the client to refresh their memory
  3. C
    Ask the charge registered nurse to explain the potential risks and complications to the client
  4. D
    Reassure the client that the procedure is extremely safe and complications are very rare

Cevap

Contact the physician to speak with the client again prior to obtaining the signature
The role of the practical nurse during the informed consent process is to act as a witness to the client's voluntary signature and to verify that the client understands the information presented by the provider. Because the client openly admits to forgetting the potential complications, they do not currently have the required understanding to provide valid consent. It is exclusively the provider's legal responsibility to explain the risks, benefits, and alternatives. Therefore, the nurse must withhold the document and notify the physician to clarify this information.

Adım Adım Çözüm

1
Analyze the client's statement regarding their understanding of the procedure.
The client explicitly states they do not remember the potential complications.
Informed consent requires the client to fully understand the risks, benefits, and alternatives before signing.
2
Determine the practical nurse's scope of practice regarding informed consent.
The nurse's role is to witness the signature and verify understanding, not to provide the primary medical explanation.
Explaining procedure risks is strictly the responsibility of the healthcare provider performing the procedure.
3
Select the intervention that safely addresses the knowledge deficit while remaining within legal boundaries.
The nurse must halt the signing process and notify the provider.
This ensures the client receives accurate medical information directly from the provider, fulfilling the legal requirements of informed consent.

Anahtar Kavram

Informed Consent Witnessing and Scope of Practice
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