hard · NCLEX-RN management

The nurse is reviewing the documentation for a client who was admitted under the emergency-consent exception. Which of the following entries are appropriate documentation safeguards? Select all that apply.

1. "Backdated the consent form to the time of arrival to ensure the record looks complete."
2. "Consent was implied because the client seemed like a nice person who would want to live."
3. "Surgeon invoked emergency exception based on imminent threat to life; documented in progress note at 1430."
4. "Client regained consciousness at 1800; informed of emergency procedures performed and provided opportunity for questions."
5. "Client arrived unconscious; BP 70/40 mm Hg; immediate surgery required to control hemorrhage; no surrogate found after two calls to listed emergency contact."

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