# 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?

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=393660&lang=en  
> language: en  
> subject: Informed Consent  
> category: MOC

## 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?

## Option

1. Give the preoperative medication because the consent form is signed.
2. Notify the surgeon that the client needs more information before going to surgery. **✔ Correct answer**
3. Explain all surgical risks and benefits so the schedule is not delayed.
4. Ask the family to reassure the client that the surgery is necessary.

**Correct answer: 2**

## 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.

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