hard · NCLEX-RN Management of Care

The nurse is caring for a client who is being treated for a high-risk pregnancy. The client's surrogate is unreachable, and a decision is needed about an emergency C-section. Which factors justify proceeding with surgery? Select all that apply.

  1. The client is unconscious and unable to provide their own consent.
  2. The client has a previous document stating they 'desire all life-saving measures' for the baby.
  3. Two documented attempts to reach the legal surrogate have failed.
  4. The hospital administrator gives permission to proceed over the phone.
  5. The fetal heart rate shows a sustained, severe bradycardia indicating imminent fetal death.

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