medium · NCLEX-RN Management of Care

A client scheduled for an emergency appendectomy is intoxicated and unable to provide coherent answers. No family members are present.

What is the RN's most appropriate action regarding consent?

  1. Wait for the client's blood alcohol level to reach 0 mg/dL before obtaining consent.
  2. Proceed with the emergency surgery using the principle of implied consent.
  3. Administer an IV bolus of 0.9% NS to quickly sober the client for signature.
  4. Ask the client's roommate, who brought them to the ED, to sign the consent form.

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