An adult client is admitted to the surgical unit for a planned laparoscopic cholecystectomy. While reviewing the preoperative checklist, the nurse notes the consent form is unsigned and hands it to the client. The client remarks, 'I will sign this, but I am still completely confused about how the surgery is actually performed.' In what chronological order should the nurse perform the following actions?
- 1Withhold the consent form to prevent the client from signing.
- 2Notify the primary surgeon regarding the client's confusion.
- 3Wait while the surgeon provides a detailed explanation of the surgery.
- 4Verify that the client comprehends the updated information.
- 5Witness the client signing the legal consent document.
Answer
The correct sequence is to first withhold the consent form, then notify the surgeon, wait for the surgeon to explain the procedure, verify the client's understanding, and finally witness the signature.
When a client expresses confusion about a procedure, the nurse's first priority is to halt the signing process to protect the client's rights. The nurse must then notify the healthcare provider, as explaining the procedure is the provider's legal responsibility. Once the provider has spoken to the client, the nurse reassesses the client's understanding. Only after verifying comprehension should the nurse witness the signature.
Step-by-Step Solution
Key Concept
The nurse's role in informed consent is to act as a witness and advocate. If a client lacks understanding, the nurse must halt the process and notify the healthcare provider, who holds the legal responsibility to explain the procedure.
Estimated Time:1m 0s