NCLEX-PN® ExaminationCoordinated CareMedium
An LPN is assisting with the admission of a client who requires a blood transfusion. The client states, 'I don't know much about blood transfusions, but the doctor said I need one.' The LPN understands that the client needs further information to provide informed consent. Which of the following is the LPN's most appropriate action?
- AProvide the client with a pamphlet about blood transfusions and ask them to sign the consent form.
- BExplain the risks and benefits of the blood transfusion to the client.
- CNotify the registered nurse (RN) or physician to provide further information to the client.
- DTell the client that the doctor will answer all questions before the transfusion.
Show answer & explanationAnswer & explanation
Correct answer: C. Notify the registered nurse (RN) or physician to provide further information to the client.
Obtaining informed consent, including explaining risks, benefits, and alternatives, is the responsibility of the physician or, in some cases, the registered nurse. The LPN's role is to ensure the client understands and to notify the appropriate professional if the client expresses a lack of understanding.
Why the other options are wrong
- A. A pamphlet is supplementary; it does not replace a direct conversation with the provider who can answer specific questions and ensure understanding.
- B. Explaining the risks and benefits for informed consent falls outside the LPN's scope of practice; this is the responsibility of the physician or RN.
- D. While true, simply telling the client to wait for the doctor is passive. The LPN has a responsibility to actively facilitate the informed consent process by notifying the appropriate person.
Informed Consent Process
A legal and ethical process where a client gives voluntary permission for a medical procedure or treatment after receiving comprehensive information about its nature, risks, benefits, and alternatives.
- Requires full disclosure of information.
- Must be voluntary and uncoerced.
- Responsibility of the physician/independent practitioner.
Memory trick: LPNs 'ENSURE' 'UNDERSTANDING', 'NOT' 'EXPLAIN'.