A practical nurse (PN) is caring for a client in an outpatient oncology clinic who is preparing for a scheduled bone marrow aspiration. The healthcare provider has discussed the procedure and left the informed consent form with the client. As the PN prepares to witness the signature, the client asks, "Will I be completely asleep during this test?" Which action should the PN take first?
- AExplain the type of sedation and pain management typically used for this specific procedure.
- BRequest that the registered nurse (RN) explain the anesthesia process to the client prior to obtaining the signature.
- Withhold the client's signature and notify the healthcare provider to return to clarify the procedure details.Answer
- DDirect the client to sign the consent form and assure them that the provider will answer this question before beginning.
Answer
Withhold the client's signature and notify the healthcare provider to return to clarify the procedure details.
The correct action is to pause the consent process and notify the healthcare provider. For informed consent to be legally valid, the client must fully understand the procedure, including the anesthesia, risks, and benefits. Because the client asked a direct question regarding sedation, they do not have a complete understanding. It is strictly the healthcare provider's responsibility—not the PN's or RN's—to explain the medical procedure. Therefore, the PN must withhold witnessing the signature until the provider has returned to answer the client's questions.
Step-by-Step Solution
Key Concept
The practical nurse's role in informed consent is limited to witnessing the signature and verifying voluntary agreement. If the client has any questions about the procedure itself, the nurse must notify the provider to explain.