NCLEX-RN Quiz
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SAFE AND EFFECTIVE CARE ENVIRONMENT
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A 60-year-old client with cirrhosis is hospitalized and becomes obtunded due to hepatic encephalopathy. The client previously appointed a surrogate decision-maker, but the surrogate is on an international flight and unreachable; the provider recommends a time-sensitive procedure to control bleeding. Current assessment: blood pressure 92/58 mm Hg, heart rate 120/min, confused to painful stimuli only, active melena. How should the nurse proceed if the surrogate decision-maker is unavailable?
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