A registered nurse in the United States is preparing a patient for surgery. The patient signs the consent form but says, "I do not understand what the surgeon plans to do." What should the nurse do first?
Correct answer: C. Notify the surgeon that clarification is needed
- A. Ask the patient to sign the form again
- B. Explain the surgical procedure in detail
- C. Notify the surgeon that clarification is needed
- D. Witness the signature and continue preparation
Explanation
The provider performing the procedure is responsible for explaining its nature, risks, benefits, and alternatives. The nurse should pause the process and notify the surgeon when the patient does not demonstrate understanding. Witnessing a signature does not replace informed consent.
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About US Legal and Ethical Nursing Practice
US nursing law and ethics include state nurse practice acts, scope of practice, standards of care, negligence, malpractice, documentation, confidentiality under HIPAA and informed consent. Ethical reasoning applies autonomy, beneficence, nonmaleficence, justice and fidelity to conflicts such as refusal of treatment, advance directives, privacy breaches and mandatory reporting, which are not the same as legal liability.
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