A nurse is caring for a client who understands a prescribed surgical procedure, but cannot read or write. Which of the following actions should the nurse take?
Explanation & Rationale
Rationale: A. Notify the surgical team that the client is unable to sign the consent: If the client is unable to sign the consent due to illiteracy but still understands the procedure, notifying the surgical team is not the immediate necessary action. B. Allow the client to sign the consent with an X: If the client is unable to write but understands the procedure, the nurse should facilitate an alternative way for the client to sign the consent. The client can mark an "X" on the consent form in the presence of a witness. C. Inform a family member of the need to sign the consent: A family member cannot sign the consent for the client unless the client is legally incapacitated. If the client is competent to understand and make decisions, they must give consent themselves, even if they are unable to sign. D. Contact the client's power of attorney to sign the consent: The power of attorney can only sign the consent if the client is legally incapacitated or unable to make decisions. In this case, the client understands the procedure, so they should be able to provide consent themselves.