An older adult client with urosepsis has become nonresponsive. The nurse is to identify the appropriate person to sign the consent forms for an invasive medical procedure. Which of the following actions by the nurse is appropriate?

A) Find the older adult's family member to sign the consent.
B) Inform the health care provider that no consent can be obtained.
C) Move forward with guardianship as the client is incompetent.
D) Review the chart for a health care power of attorney.


Ans: D
The client, at this time, does not have the decision-making capacity to sign consents. Guardianship is a permanent option that is used only when a person has been declared incompetent. When the client does not have the decision-making capacity to sign consents, the durable power of attorney for health care should do so. If there is no power of attorney, the nurse needs to follow the institutional protocol for obtaining consent.

Nursing

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