A healthcare provider asks a licensed practical nurse to obtain a signature on an informed consent document for a client's scheduled cholecystectomy. Upon entering the room, the client states, "I am really scared, and I do not understand what they will do to my gallbladder." Which action is most appropriate for the nurse to take?
- AExplain the steps of the surgical procedure to the client to ensure understanding before signing.
- BDelegate the task of explaining the surgery to the registered nurse on the unit.
- CTell the client that it is a very common procedure and there is no need to worry.
- Delay obtaining the signature and notify the healthcare provider to speak with the client.Answer
Answer
The most appropriate action is to delay obtaining the signature and notify the healthcare provider to speak with the client.
Informed consent requires the client to fully understand the procedure, its risks, benefits, and alternatives. The legal responsibility for explaining the medical procedure rests entirely with the healthcare provider performing it. The role of the licensed practical nurse is solely to witness the client's signature, confirm they are signing voluntarily, and verify they understand what they were told by the provider. Because the client explicitly stated a lack of understanding, the nurse must advocate for the client by stopping the consent process and notifying the provider to return and answer the client's questions.
Step-by-Step Solution
Key Concept
Informed Consent and Scope of Practice
Estimated Time:1m 0s