The intrapartum woman sees no need for an admission fetal monitoring strip. If she continues to refuse, what is the first action the nurse should take?
a. Consult the family of the woman.
b. Notify the physician.
c. Document the woman's refusal in the nurse's notes.
d. Make a referral to the hospital ethics committee.
B
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A The patient must be allowed to make choices voluntarily without undue
influence or coercion from others.
B Patients must be allowed to make choices voluntarily without undue influence or
coercion from others. The physician, especially if unaware of the patient's
decision, should be notified immediately. The nurse should notify the physician
of the refusal of the agency's protocol and document all aspects of the
explanations given by the nurse, as well as any instructions from the physician.
C Documentation is important, but it should not be the first action.
D Fetal monitoring is not usually considered an ethical problem.
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