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
A. Contact the client's power of attorney to sign the consent: Involving a power of attorney is not necessary if the client is competent and understands the procedure. The client has the legal right to consent, even if they are unable to read or write. B. Allow the client to sign the consent with an X: A client who cannot write can legally indicate consent by marking an X on the consent form, as long as they demonstrate understanding of the procedure. This ensures the client’s autonomy and meets legal requirements for informed consent. C. Notify the surgical team that the client is unable to sign the consent: Simply notifying the team does not address the legal requirement for documented consent. The nurse should facilitate a method for the client to provide valid consent, such as using an X. D. Inform a family member of the need to sign the consent: Family members should only sign if the client is legally incapable of consenting. Since the client understands the procedure, their own consent is valid, and involving family unnecessarily could violate patient autonomy.