The nurse is caring for a client who has been brought to the emergency department after a severe car accident. They require immediate life-saving surgery; however, they are unconscious and unable to consent to the operation. Which of the following is the best course of action?
The nurse is caring for a client who has been brought to the emergency department after a severe car accident. They require immediate life-saving surgery; however, they are unconscious and unable to consent to the operation. Which of the following is the best course of action?
A. Ask a friend who was with the client to sign the consent form.
[2%]
B. Attempt calling a family member to obtain consent.
[7%]
C. Call the on-staff nursing supervisor and request a court order for the surgery.
[5%]
D. Immediately transport the client to the operating department without obtaining consent.
[86%]
Statistics
Subject/Lesson
Subject
Leadership & Management
Lesson
Ethical/Legal
Client Need
Test Plan
Management of Care
Related Topic
Informed Consent
Item Type
Item Type
Application
Explanation
Choice D is correct. When delaying treatment to a client would result in severe injury or death, consent is not needed. The only other circumstance where treatment of adults does not require approval is if the client declines treatment.
Choice A is incorrect. Asking the friend would delay lifesaving treatment. Note that the subject of the question states that immediate treatment is necessary.
Choice B is incorrect. Attempting to contact a family member may be impossible in this situation and will likely delay treatment.
Choice C is incorrect. A court order is not needed to perform lifesaving procedures on unconscious clients.
Related Videos
2 Key Topics
Informed Consent
15.1 Documentation, Consent & Information Systems
Additional Info
✓ If there are ethical concerns or questions about the decision to proceed with implied consent, consult with the hospital's ethics committee or ethics consultation service to ensure that the decision aligns with ethical principles and legal requirements.
✓ Confirm the client's known allergies and current medications with the surgical team to prevent any adverse reactions during surgery. Including anything that may have been found with the client. (Bag, purse pockets etc.)
✓ If possible/applicable be culturally sensitive to the needs and preferences of the client and their family, including any cultural or religious considerations related to surgery and care.
