Author Question: An unconscious client with a head injury needs life-saving surgery. His wife speaks only French, and ... (Read 18 times)

renzo156 · **on:** Jul 22, 2018

An unconscious client with a head injury needs life-saving surgery. His wife speaks only French, and the health care professionals who are not fluent in French are having a difficult time ex-plaining his condition to her.

Which of the following is the most correct answer regarding this situation? a. Two licensed health care workers should witness and sign the preoperative con-sent form indicating that they heard an explanation of the procedure given in English.
b. An institutional review board must be contacted to give its emergency advice on the situation.
c. A friend of the family may act as an interpreter, but the explanation cannot con-tain details of the client's accident because of confidentiality laws.
d. The health care team should continue with the surgery after providing information in the best manner possible.

Question 2

When the nurse is instructing a client with type 1 diabetes about risks and precautions related to exercise, which of the following information should be included?

a. Monitor blood glucose after exercise.
b. High-intensity aerobics is beneficial.
c. Monitor blood glucose before exercise.
d. Carry concentrated carbohydrates (e.g., sugar packets, hard candy).

ApricotDream · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

D
In emergency situations, if it is impossible to obtain consent from the client or an authorized person, the beneficial or life-saving procedure may be undertaken without liability for failure to obtain consent. In such cases, the law assumes that the client would wish to be given the treat-ment.
Two witnesses are required usually when telephone consents are involved. This is not the case in this situation.
In an emergency, it is not necessary to contact the institutional review board. Doing so would take up valuable time.
A family member or acquaintance who is able to speak the client's language should not be used to interpret health care information. An official interpreter must be available to explain the terms of consent (except in an emergency situation).

Answer to Question 2

D
The client should be instructed to carry a concentrated form of carbohydrates (e.g., sugar, hard candy) and to wear a medical alert bracelet.
The client should monitor blood glucose levels immediately before and after exercise.
The client should perform low- to moderate-intensity exercises. High-intensity aerobics are not recommended.
The client should monitor blood glucose levels immediately before and after exercise.