Author Question: A client, scheduled for open-heart surgery, tells the nurse he does not want to be saved if he dies ... (Read 27 times)

moongchi · **on:** Jul 23, 2018

A client, scheduled for open-heart surgery, tells the nurse he does not want to be saved if he dies during surgery. What should the nurse do next?

A) Discuss with and document the wishes of the client and family
B) Administer the ordered oral and intravenous preoperative medications
C) Notify the physician after completion of the surgical procedure
D) Verbally report the client's wishes to the operating room supervisor

Question 2

A nurse has been asked to ensure informed consent for a surgical procedure. What might be a role of the nurse?

A) Securing informed consent from the client
B) Signing the consent form as a witness
C) Ensuring the client does not refuse treatment
D) Refusing to participate based on legal guidelines

macmac · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Ans: A
Advance directives allow the client to specify instructions for health care treatment if unable to communicate these wishes during or after surgery. It is important for the nurse to discuss and document exact do not resuscitate (DNR) wishes of the client and family before surgery.

Answer to Question 2

Ans: B
The responsibility for securing informed consent from the client lies with the person who will perform the procedure, usually the physician. The nurse may sign as a witness, signifying that the client signed the consent form without coercion, and was alert and aware of the act.