In the event of a nonresponsive client with urosepsis, what is the nurse’s first step in identifying a person to sign consent forms?

The correct approach in a situation involving a nonresponsive client with urosepsis is to review the chart for a health care power of attorney. This document is a legal instrument that designates an individual—often referred to as the agent or proxy—to make medical decisions on behalf of the client when they are unable to do so themselves, due to incapacitation or any other reason.

By consulting the client’s chart first, healthcare providers ensure that they are acting in accordance with the patient’s wishes as previously expressed. It provides clarity regarding who is authorized to provide consent, which is critical in emergencies where swift medical intervention may be necessary. This step also helps to uphold the principles of autonomy and respect for the client's rights, as the designated individual may have specific knowledge of the patient’s preferences and values that can guide care decisions.

Consulting family members directly may not yield immediate or satisfactory results, especially if there are multiple family members or a lack of clarity regarding who should be making decisions. Making assumptions based on the client's medical history carries the risk of misinterpreting the patient's desires, which might lead to ethical conflicts or inappropriate care decisions. Requesting a decision from the nursing staff would not be appropriate, as they do not have the legal authority to make consent decisions