# A client is scheduled for an invasive procedure. The nurse discovers that the client received IV midazolam before signing the consent form. Which action should the nurse take?

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=397299&lang=en  
> language: en  
> subject: Informed Consent  
> category: MOC

## Question

A client is scheduled for an invasive procedure. The nurse discovers that the client received IV midazolam before signing the consent form. Which action should the nurse take?

## Option

1. Stop the consent process and notify the procedural team. **✔ Correct answer**
2. Ask the client's adult child to sign the consent immediately.
3. Witness the signature because the client is still awake.
4. Document that consent was implied by the scheduled procedure.

**Correct answer: 1**

## Explanation

Informed consent must be voluntary and obtained before sedating medications impair decision-making. The nurse should stop the process and notify the procedural team so valid consent can be addressed. Family signature, implied consent, or witnessing after sedation does not protect client autonomy.

## In-depth explanation

Clinical Judgment
Use the client cues, timing, labs, and safety risks to select the response that best fits Consent after sedation.

Memory Tip
Match the strongest cue cluster to the safest nursing judgment.

KR vs US
NCLEX items reward cue-based priority thinking rather than isolated recall.

## Clinical scenario

Clinical Practice Guide
For Consent after sedation, compare the complete cue pattern with the client's current stability, ordered data, and expected nursing scope.

Caution
Do not choose an action from one isolated cue when the full scenario changes priority or safety.

## Key concepts

- **Informed Consent** — Voluntary permission given after understanding the procedure, risks, benefits, and alternatives.
- **Procedural Sedation** — Medication-induced reduction in awareness that can impair decision-making capacity.
- **Witness** — A person who confirms that a signature was made voluntarily, according to policy.

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