Examkin

Soru

Zorluk: OrtaInformed Consent

An adult client admitted with a fractured femur received a dose of intravenous morphine 20 minutes ago. The orthopedic surgeon arrives, explains the necessity of an urgent open reduction and internal fixation (ORIF) to the client, and asks the registered nurse to witness the surgical consent signature. Which of the following actions by the nurse are appropriate? Select all that apply.

  1. Inform the surgeon that the client cannot legally sign the consent document at this time.Cevap
  2. Request that the surgeon contact the client's medical power of attorney or legal next of kin.Cevap
  3. Document the time of the opioid administration and the client's current inability to sign.Cevap
  4. D
    Proceed to witness the signature if the client is currently oriented to person, place, and time.
  5. E
    Re-explain the surgical risks and benefits to the client to ensure adequate comprehension.
  6. F
    Invoke implied consent and prepare the client for surgery without contacting a proxy.

Cevap

The correct actions are to inform the surgeon that the client cannot legally sign, request that a surrogate decision-maker be contacted, and thoroughly document the situation.
Clients who have received central nervous system depressants, such as opioids, within the prior several hours lack the legal competence to provide informed, voluntary consent. In such situations, the nurse acts as a client advocate by intervening, preventing the client from signing, and advising the provider to contact the designated medical power of attorney or legal next of kin. Thorough documentation of the medication administration and the client's legal incapacity is also required.

Adım Adım Çözüm

1
Assess the client's legal competence to sign the consent form.
The client received intravenous morphine 20 minutes ago.
Opioids are central nervous system depressants that alter cognitive function and automatically invalidate legal capacity for consent.
2
Determine the appropriate legal pathway for obtaining consent.
A surrogate decision-maker must be contacted by the provider.
When a client is temporarily incapacitated by medication, a designated proxy or next of kin assumes decision-making rights.
3
Identify the nurse's scope of practice regarding the consent process.
The nurse must advocate for the client by stopping the signature and documenting the event.
The nurse's role is to ensure consent is voluntary and competent, not to obtain it or bypass safety protocols.

Anahtar Kavram

Legal competence and the nurse's advocacy role in the informed consent process for sedated clients.
Bu soruyu puanla

Konular

Informed Consent

Bu konudan daha fazla soru