An ambulatory care nurse is reviewing documentation for a client scheduled for an elective laparoscopic cholecystectomy. Which actions regarding informed consent fall within the registered nurse's scope of practice? Select all that apply.
- Witnessing the client voluntarily sign the surgical consent formAnswer
- Verifying the client is competent and has not received sedating medicationsAnswer
- CExplaining the potential risks and complications of the procedure
- DDescribing available alternative medical treatments to the client
- Notifying the healthcare provider if the client has questions about the surgical techniqueAnswer
- FDelegating the task of obtaining the consent signature to unlicensed assistive personnel
Answer
The actions within the registered nurse's scope of practice include witnessing the signature, verifying the client's competence (ensuring no sedatives were administered prior), and notifying the provider if the client has specific procedural questions.
The legal and ethical role of the registered nurse in the informed consent process is strictly defined. The nurse acts as a witness to ensure the signature is authentic and voluntary. Additionally, the nurse must assess the client's baseline competence, ensuring no sedatives or opioids have been administered that could impair decision-making capacity. Finally, the nurse serves as a client advocate; if the client expresses confusion or asks specific questions about the surgery, the nurse must pause the process and notify the healthcare provider to provide further clarification.
Step-by-Step Solution
Key Concept
During informed consent, the healthcare provider is responsible for explaining the procedure, risks, benefits, and alternatives, while the registered nurse serves to witness the signature, verify client competence, and advocate for the client if questions remain.