A preoperative assessment shows that a client's hemoglobin level ...

[bobypop]

A preoperative assessment shows that a client's hemoglobin level is dropping. The anesthetist orders 3 units of blood to be administered.
 
  The nurse administers the first unit before discovering that the client is a Jehovah's Witness, as documented in the record. This is an example of
 
  a. professional conduct.
  b. a negligent act.
  c. physical abuse.
  d. breaching client confidentiality.

Question 2

A 16-year-old trauma victim arrives in the emergency department with a life-threatening condition and requires emergency surgery. The nurse knows that
 
  a. a parent/guardian must give consent.
  b. the client can give consent if she provides proof of emancipation.
  c. the client must first be evaluated for competency before obtaining consent.
  d. surgery can be performed without consent.

[stillxalice]

Answer to Question 1

ANS: B
The nurse was negligent by not checking the record and by failure to obtain written consent from the client for the procedure. This is an example of misconduct, not professional conduct. The nurse did not intend to physically harm the patient. The nurse did not breach client confidentiality.

Answer to Question 2

ANS: D
Surgery can be performed without consent because it is a life-threatening emergency. Normally parents or a guardian must give consent, but in a life-threatening emergency medical care can be administered without consent. Providing proof of emancipation is not necessary in a life-threatening situation. The client does not need to first be evaluated for competency in a life-threatening situation.

[bobypop]

Thanks for the timely response, appreciate it

[Bigfoot1984]

TYSM