A client diagnosed with severe peripheral arterial disease is presented with a consent form for a below-the-knee amputation. As the practical nurse (PN) approaches to witness the signature, the client states, "I will sign this, but I really do not understand why they cannot just give me antibiotics to cure the infection." Which action should the PN take?
- AExplain why intravenous antibiotics are insufficient for treating deep tissue ischemia and then witness the signature.
- BWitness the client's signature as requested and document the client's verbalized knowledge deficit in the medical record.
- Withhold witnessing the signature and notify the healthcare provider that the client requires further clarification.Answer
- DInstruct the client to sign the document and assure them the surgeon will answer their questions in the preoperative holding area.
Answer
Withhold witnessing the signature and notify the healthcare provider that the client requires further clarification.
Informed consent requires that the client fully understands the procedure, its risks, alternatives, and necessity prior to signing. The role of the practical nurse is to witness the signature to confirm it is voluntary. However, if the client expresses confusion or a lack of understanding, the nurse must advocate for the client by stopping the signing process and contacting the healthcare provider to provide the necessary explanation.
Step-by-Step Solution
Key Concept
The practical nurse acts as an advocate during the informed consent process by ensuring the client fully understands the procedure before signing, and must contact the healthcare provider if clarification is needed.