A client is scheduled for an elective partial thyroidectomy. The surgeon has discussed the procedure with the client and left the surgical unit. Before signing the consent document, the client asks the registered nurse, "What exactly did the doctor mean when she said I might have trouble speaking normally after this is done?" Which of the following is the most appropriate action by the nurse?
- ADescribe the anatomical location of the thyroid gland to the client and explain why temporary hoarseness is a potential complication.
- Contact the surgeon to return to the unit and provide further clarification about the procedural risks to the client.Answer
- CReassure the client that permanent voice changes are extremely rare and encourage them to sign the document to prevent surgical delays.
- DInstruct the unlicensed assistive personnel (UAP) to remain with the client and witness the signature once the client is ready.
Answer
The most appropriate action is to contact the surgeon to return and provide further clarification about the procedural risks.
The correct action is to contact the surgeon to return and clarify the procedural risks. For informed consent to be legally valid, the client must fully understand the procedure, including all associated risks, benefits, and alternatives. It is the strict legal responsibility of the healthcare provider performing the procedure to explain these elements. When a nurse assesses that a client has lingering questions or misunderstandings regarding the medical details of a surgery, the nurse must fulfill their role as a client advocate by pausing the consent process and notifying the provider to address the client's concerns.
Step-by-Step Solution
Key Concept
The registered nurse's role in informed consent is to witness the signature, assess the client's level of understanding, and advocate for the client by notifying the healthcare provider if the client requires further explanation of the procedure's risks, benefits, or alternatives.