An older patient with confusion is prescribed to receive a blood transfusion. What should the nurse do to obtain consent for this transfusion?
1. Ask the patient's durable power of attorney to sign the consent.
2. Withhold the blood transfusion until the patient's mental status improves.
3. Administer the blood transfusion since a signed consent form is not necessary.
4. Explain the transfusion, help the patient sign the consent, and administer the transfusion.
1
Rationale: The nurse who finds a patient lacking the capacity to provide consent, as in the case of a confused patient, must obtain consent from a healthcare proxy, such as the durable power of attorney.
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