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CGRN GI/Endoscopy Practice Exam

Category - Care Management

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A client with a perforated bowel is scheduled for emergency surgery. The nurse finds out that the client could not sign the consent form due to sedation induced by the administration of narcotic analgesics. The nurse’s most appropriate action is to:
  1. Call the client’s family to obtain consent, and have it witnessed by two individuals
  2. Give the consent herself, and ask two individuals to be the witnesses
  3. Send the client to surgery without an informed consent
  4. Ask the physician to sign the consent and stand as one of the witnesses
Explanation
Answer: A - If the client is not able to sign an informed consent, the nurse must make every effort to obtain consent from a family member. A telephone call is acceptable as long as the consent is witnessed by at least 2 individuals, who can hear the oral consent. In emergency situations, if the client is unable to sign and no family member is available, the surgery can be performed without consent. These policies may vary by state and facility.
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