medium · NCLEX-RN Management of Care
The RN is caring for a client who is being prepared for surgery. The client has an advance directive that specifies 'No Intubation.' However, the anesthesiologist explains that intubation is a standard part of the required anesthesia for this surgery.
How should the RN advocate for this client?
- Proceed with the intubation anyway since it is only a temporary measure for the surgery.
- Inform the client that advance directives are automatically suspended during any surgical procedure, as the next nursing response.
- Facilitate a discussion between the client and the anesthesiologist to clarify the client's wishes for this specific procedure.
- Advise the client to cancel the surgery since it conflicts with their documented preferences, for this client, in this situation.
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