A client scheduled for colon resection has signed the consen… | MyMerci
Informed ConsentMOC
Question
A client scheduled for colon resection has signed the consent form but says, "I still do not understand why this operation is needed." Which action should the nurse take?
1Give the preoperative medication because the consent form is signed.
2Notify the surgeon that the client needs more information before going to surgery.✓ Correct answer
3Explain all surgical risks and benefits so the schedule is not delayed.
4Ask the family to reassure the client that the surgery is necessary.
Explanation
Informed consent must be voluntary and based on adequate understanding. The surgeon or provider performing the procedure is responsible for explaining risks, benefits, and alternatives. The nurse advocates for the client by pausing the process and notifying the provider when the client expresses lack of understanding.
In-depth explanation
Clinical Judgment Recognize that a signed form does not equal informed consent if the client still lacks understanding.
Memory Tip Nurse witnesses and advocates; provider explains the procedure.
KR vs US NCLEX consent items emphasize client autonomy and the nurse role boundary.
Clinical scenario
Clinical Practice Guide Informed consent protects client autonomy and requires an opportunity to ask questions before an invasive procedure.
Caution Do not rush preoperative medication when consent validity is questioned.
Key concepts
Informed Consent — A voluntary decision made after the client receives and understands relevant information about a procedure.
Patient Advocacy — Nursing action that protects client rights, safety, and informed decision-making.
Autonomy — The client right to make health care decisions after receiving adequate information.