A nurse in an emergency department is preparing a client for emergency surgery.The client's blood alcohol level is 180 mg/dL.Which of the following actions is the nurse's priority?A. Insert an indwelling urinary catheter.B. Insert an NG tube.C. Obtain consent for surgery.D. Apply antiembolic stockings.
Question
A nurse in an emergency department is preparing a client for emergency surgery.The client's blood alcohol level is 180 mg/dL.Which of the following actions is the nurse's priority?A. Insert an indwelling urinary catheter.B. Insert an NG tube.C. Obtain consent for surgery.D. Apply antiembolic stockings.
Solution
The nurse's priority in this situation should be C. Obtain consent for surgery. Before any surgical procedure, it is crucial to obtain informed consent from the patient. This is a legal and ethical requirement that ensures the patient is aware of the procedure, its risks, benefits, and alternatives, and agrees to proceed. Even in emergency situations, every effort should be made to obtain consent. The patient's high blood alcohol level may complicate this, as it could impair their ability to give informed consent, but it remains the first priority. The other actions (inserting a urinary catheter, NG tube, or applying antiembolic stockings) are also important in preparing for surgery, but they come after obtaining consent.
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