Author Question: An older adult fell at home and fractured a hip, which requires surgical repair. After admittance to ... (Read 93 times)

lilldybug07

  • Hero Member
  • *****
  • Posts: 546
An older adult fell at home and fractured a hip, which requires surgical repair. After admittance to the emergency department, the client was given sedation for pain before a surgical permit was signed. What should be done to obtain consent?
 
  1. The physician should have the client's wife sign the consent form.
  2. The physician should wait until the effects of the medication wear off and have the client sign the form.
  3. Because the client has been medicated, the nurse should thoroughly explain the consent form to the client.
  4. This would be considered an emergency situation and consent would be implied.

Question 2

A client being prepared for an invasive procedure questions some of the terminology in the consent form. Which response should the nurse make?
 
  1. Just sign the form, and I'll make sure your physician talks to you before he begins the procedure.
  2. I'll explain whatever you don't understand.
  3. You should have asked your physician when he was in here.
  4. I'll call your physician back in the room to answer your questions.



jliusyl

  • Sr. Member
  • ****
  • Posts: 328
Answer to Question 1

Correct Answer: 1
Rationale 1: A client who is confused, disoriented, or sedated is not considered functionally competent and a legal guardian or representative can provide or refuse consent for the client. In this case, because the client was given medication that sedated him, the wife would be appropriate for giving consent for the surgical procedure.
Rationale 2: Waiting until the effects of the medication wear off would not be in the best interest of the client.
Rationale 3: Thorough explanation may or may not matter in this case because the client is considered functionally incompetent. Besides, it is the physician's responsibility to obtain informed consent.
Rationale 4: Implied consent may be used in a medical emergency, but in this case, there is an appropriate option available.

Answer to Question 2

Correct Answer: 4
Rationale 1: If the client has questions, he should not sign the form. These questions require the physician's attention before the consent is signed.
Rationale 2: If the client has questions, he should not sign the form, and it is not the nurse's responsibility to answer the questions.
Rationale 3: Telling the client what he should have done is demeaning and not an appropriate therapeutic response.
Rationale 4: Obtaining informed consent for specific medical treatment is the responsibility of the person who is going to perform the procedure, in this case the physician. Informed consent suggests that the client has been given complete information, including benefits, risks, and alternatives if the treatment is not given. An element of informed consent is that the client must be given enough information to be the ultimate decision maker. If not, it is the physician's responsibility to make sure the client's understanding is clear. It is important that the person obtaining the consent (the physician in this case) answer the client's questions.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

Fatal fungal infections may be able to resist newer antifungal drugs. Globally, fungal infections are often fatal due to the lack of access to multiple antifungals, which may be required to be utilized in combination. Single antifungals may not be enough to stop a fungal infection from causing the death of a patient.

Did you know?

A good example of polar molecules can be understood when trying to make a cake. If water and oil are required, they will not mix together. If you put them into a measuring cup, the oil will rise to the top while the water remains on the bottom.

Did you know?

The average human gut is home to perhaps 500 to 1,000 different species of bacteria.

Did you know?

Nearly all drugs pass into human breast milk. How often a drug is taken influences the amount of drug that will pass into the milk. Medications taken 30 to 60 minutes before breastfeeding are likely to be at peak blood levels when the baby is nursing.

Did you know?

To maintain good kidney function, you should drink at least 3 quarts of water daily. Water dilutes urine and helps prevent concentrations of salts and minerals that can lead to kidney stone formation. Chronic dehydration is a major contributor to the development of kidney stones.

For a complete list of videos, visit our video library