A client was treated in the emergency department 2 days ago. The nurse makes a follow-up call to say that a culture shows that the client needs an antibiotic. The client's spouse answers the phone, says that the client is at work and doing fine, and that the client does not need the antibiotic. Which is a priority action for the nurse?

Question

Quizplus · Accepted Answer

The spouse does not have the authority to refuse the required medication for the client as the client is competent and has decision-making capacity. An informed refusal includes knowing the risks and benefits of the decision, including the potential of latent infection/damage in this case. If the client does not call back, the typical facility policy is to try to reach the client by phone 3 times, then by certified letter, and (depending on the seriousness of the result) then sending the police to contact the client. (Option A) The prescription can be called into the pharmacy, but there is no guarantee that the client will pick it up and take it in light of the spouse's response. Speaking to the client is the priority. (Option B) The statement and attempts for contact should be documented, but the first priority is client care. (Option C) The emergency department physician should be notified of the conversation, but the priority is to speak to the client and explain the importance of the new follow-up treatment. If the client has a primary care provider, the nurse could also communicate with that office to aid follow-up. Educational objective: A competent adult with decision-making capacity can refuse essential treatment; the client's spouse does not have that legal authority. Treatment refusal must include awareness of the risks and benefits.

A Client Was Treated in the Emergency Department 2 Days