The client with a perforated gastric ulcer who is scheduled for emergency surgery cannot sign the operative consent form because of sedation with opioid analgesics. The nurse takes which priority action?
1. Obtains a court order for the surgery
2. Sends the client to surgery without the consent form being signed
3. Has the hospital chaplain sign the informed consent immediately
4. Obtains a telephone consent from the family member witnessed by two persons
4
Rationale: Every effort must be made to obtain permission from a responsible family member to perform surgery if the client is unable to sign the consent form. A telephone consent must be witnessed by two persons who hear the family member's oral consent. The two witnesses then sign the consent with the name of the family member, noting that an oral consent was obtained. Consent is not informed if it is obtained from a client who is confused, unconscious, mentally incompetent, or under sedation. In emergencies, the client may be unable to sign and family members may not be available. In this type of a situation, the physician is legally permitted to perform surgery without consent. "Sends the client to surgery without the consent form being signed" and "has the hospital chaplain sign the informed consent immediately" are not appropri-ate. Additionally, actions that delay treatment in an emergency are not appropriate.
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A nurse who works for an accrediting agency is reviewing the structure of a health care organization
Which situations would the nurse interpret as indicating the agency is based on classical theory? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Much of the care provided is based on standard operating procedure. 2. Information from the organization refers to the work done as "throughput." 3. There is a well-defined chain of command in the organization. 4. During interviews with staff, the words creativity and flexibility are often used. 5. The facility's organizational chart reveals departmentalization.
A number of techniques that can facilitate multicultural communication have been identified. Which one of these would not facilitate multicultural communication?
a. avoid the use of slang terms b. recognition that educational backgrounds in nursing may be vastly different c. providing your coworkers with resources that may help to reinforce verbal communication d. using "you" statements when offering constructive criticism
A 5-year-old has a disorder that may be genetically transmitted. The parents would like to have genetic testing performed, but the child refuses, saying, "I don't want to get stuck with a needle
" What, if anything, is the ethical solution to this problem? 1. Have the testing done because the parents have requested it and the child is so young. 2. Do not perform the test because the child refuses. 3. Wait until the child is 8 years old and attempt to do the test at that time. 4. There is no clear answer to this ethical question.