A client is scheduled for a percutaneous endoscopic gastrostomy (PEG) tube placement. The gastroenterologist discussed the procedure with the client during morning rounds. When the practical nurse (PN) enters the room to witness the signature on the informed consent document, the client states, "The doctor said I need this feeding tube, but I really don't understand how it will affect my daily life and if I can ever eat normal food again." Which action is legally required of the PN?
- Halt the consent process and contact the gastroenterologist to provide further clarification to the client.Cevap
- BSit with the client and thoroughly explain the long-term lifestyle changes associated with a PEG tube.
- CDelegate the task of evaluating the client's procedural comprehension to the supervising registered nurse (RN).
- DReassure the client that the procedure is routine and encourage them to sign the form to avoid delaying the surgery.
Cevap
The legally required action is to halt the consent process and contact the gastroenterologist to provide further clarification to the client.
The correct action is to pause the consent process and notify the provider. For informed consent to be legally valid, the client must fully understand the procedure, including its risks, benefits, and expected outcomes. It is the legal responsibility of the provider performing the procedure to explain these details and address any questions. The nurse's role is strictly to witness that the signature is authentic, the client is competent, and the consent is voluntary. If the client has lingering questions, the nurse must serve as an advocate and halt the process until the provider clarifies.
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Informed Consent and PN Scope of Practice
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