Question

1. A 19-year-old male presents to the emergency department via ambulance in critical condition (significantly hypotensive, hemorrhaging, and Glasgow coma scale of 6). The patient was involved in a high-speed motor vehicle collision. His identity is unknown. The trauma surgeon makes the decision to take the patient directly to the operating room.
2. A 45-year-old female is admitted after a fall while horseback riding. She sustained a femur fracture and requires surgical correction of an open reduction internal fixation. The orthopedic surgeon has a lengthy conversation with the patient explaining the purpose, benefits, risks, and complications. The surgeon asks the nurse to have the patient sign the consent and witness the signature. The patient states to the nurse she fully understands and has no questions.
3. A 27-year-old female is admitted for cholecystitis and requires a minimally invasive cholecystectomy. The patient recently immigrated from Bangladesh and only speaks Bengali. She is accompanied by her husband who also speaks Bengali but has a limited understanding of English. The surgeon explains the purpose, benefits, risks, and complications of the surgery to the husband and has him sign the consent.

identify which scenario requires further nursing intervention pertaining to informed consent. Identify the appropriate nursing intervention and what members of the healthcare team need to be involved to resolve the situation.

Answer 1

•In 1st scenario , there is more critical patient. Because he was involved in a high speed motor vehicle collision and loss consiousness.

•Nursing Intervention.

a. Airway , breathing , circulation are monitored by the nurse.

b. GCS scale is monitored by the nurse.

c. Appropriate position is given.

d. Oxygen is administered .

e. Packed cell RBC is given

f. IV infusion is given.

•Code blue team should be prepared if patient is in cardiopulmonary arrest.

Doctors, any other nurse should prepare for further help.