Question

A nurse is caring for a client who has renal failure. The client tells the nurse that they have decided to stop hemodialysis treatment. Which of the following actions should the nurse take to act in the role of an advocate for the client?

a) Convince the client to continue hemodialysis
b) Report the client's decision to the healthcare team
c) Document the client's decision in the medical record
d) Encourage the client to discuss the decision with family

Answer 1

The nurse should act as an advocate by reporting the client's decision to stop hemodialysis to the healthcare team, documenting the decision, and encouraging a discussion with family, to ensure the client is making an informed decision.

Step-by-step explanation:

When a client who has renal failure expresses a desire to stop hemodialysis treatment, the nurse should act as an advocate for the patient. As an advocate, the nurse shouldn't try to convince the client to continue treatment, but rather should ensure that the client is fully informed and has the resources to make an autonomous decision. The most appropriate action as a nurse advocate would be to:

• Report the client's decision to the healthcare team
• Document the client's decision in the medical record
• Encourage the client to discuss the decision with family

These actions are crucial because they respect the patient’s autonomy, ensure clear communication within the healthcare team, and foster an environment where the patient can make the most informed decision regarding their care.