A client needs emergency surgery after sustaining injuries from a natural gas explosion. The client is not attended by any family member and the surgery cannot wait
Which of the following can be done to ensure the best and safest care is provided to the client?
1. Hold the surgery until a family member arrives to the hospital to provide consent.
2. Contact a pastor to pray with the client before the surgery.
3. Instruct the client in postoperative exercises while waiting for anesthesia to take effect.
4. Have a member of the nursing staff try to reach the family at home to provide consent for the surgery.
4
In the case of an unaccompanied trauma client, the team should make every effort to reach the family; however, preservation of life and function is a priority. A member of the nursing staff can attempt to reach the family for consent, but the surgery should not be delayed until a family member arrives to provide consent. Since the surgery takes precedence, the client's instruction, psychosocial, and spiritual needs will need to be addressed afterwards.
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