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Soru

Zorluk: OrtaInformed Consent

An emancipated 17-year-old is at an outpatient oncology center awaiting a bone marrow aspiration. While reviewing the paperwork, the adolescent pauses and asks the nurse, 'The doctor mentioned infection and bleeding as possible problems, but I read online that this could damage my spine. Is that true? I never got to ask.' What is the most appropriate action for the nurse to take?

  1. A
    Explain the anatomical location of the aspiration to reassure the client that the spinal cord will not be damaged.
  2. Suspend the consent process and page the healthcare provider to answer the client's questions about spinal damage.Cevap
  3. C
    Contact the adolescent's legal guardians immediately to obtain an overriding consent for the procedure.
  4. D
    Provide therapeutic reassurance that the healthcare team performs this procedure frequently and safely, then witness the signature.

Cevap

The most appropriate action is to suspend the consent process and page the healthcare provider to answer the client's questions about spinal damage.
The correct action reflects the nurse's fundamental role as a client advocate and a witness to informed consent. Because the client has unanswered questions about potential procedural complications, they are not fully informed. The registered nurse cannot legally explain the medical risks of a surgical or invasive procedure, as this falls under the healthcare provider's scope of practice. Therefore, the nurse must halt the signature process and notify the provider to return and properly address the client's concerns.

Adım Adım Çözüm

1
Evaluate the client's legal status and readiness to sign the consent form.
The emancipated minor has the legal authority to consent, but demonstrates a lack of understanding regarding the procedure's risks.
Informed consent requires the client to fully comprehend the risks, benefits, and alternatives prior to signing.
2
Identify the boundaries of the registered nurse's scope of practice.
The nurse determines that providing detailed medical explanations about procedural risks falls outside the RN scope.
The healthcare provider performing the procedure holds the legal responsibility for explaining risks and answering specific medical questions.
3
Intervene to protect the client's legal rights and safety.
The nurse stops the consent process and contacts the provider to return to the room.
The nurse acts as a client advocate to ensure that informed consent is both valid and voluntary.

Anahtar Kavram

The nurse's role in informed consent is to act as a witness and advocate, ensuring the client is legally competent and fully understands the procedure, while deferring all medical explanations to the healthcare provider.
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Informed Consent

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