An 82-year-old resident of a skilled nursing facility has been transferred to the local hospital for an invasive cardiac procedure scheduled for the am. The client is alert but has demonstrated
An 82-year-old resident of a skilled nursing facility has been transferred to the local hospital for an invasive cardiac procedure scheduled for the am. The client is alert but has demonstrated minor memory issues generally related to the day and time. The client has expressed a desire, “to get whatever this is over with.” The client was accompanied to the hospital by family members and several plans to be here during the procedure. The client has shared that, “My kids really are pushing for me to have this done.” Besides the diagnosis of aortic stenosis, the client is hypertensive and is being treated for gastroesophageal reflux disease (GERD) and depression.
Concerning the legitimacy of the client’s informed consent, the licensed practical nurse (LPN) would recognize which issue as a priority “red flag” to be reported to the registered nurse (RN)? (Select all that apply.) Include your rationales for choosing the answers.
1. The client’s advanced age
2. Lack of understanding of the purpose of the procedure
3.Currently being treated for depression
4. Memory deficits
5. Diagnosis of hypertension
6. Cardiac diagnosis
7. Perception of family’s feeling regarding the procedure
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