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?

Rationale: A. Inform a family member of the need to sign the consent: Family members should not automatically sign a surgical consent unless the client lacks decision-making capacity. If the client is alert, oriented, and demonstrates understanding of the procedure, they retain the legal right to provide informed consent, even if they cannot read or write. B. Allow the client to sign the consent with an X: Clients who are unable to write their name can legally provide consent by marking an X on the consent form in the presence of a witness. The nurse should ensure the client understands the procedure, risks, benefits, and alternatives, and a witness attests to the client’s comprehension and voluntary agreement. C. Contact the client's power of attorney to sign the consent: A power of attorney may only sign if the client lacks the capacity to make healthcare decisions. Since the client in this scenario understands the procedure, involving a surrogate is unnecessary and may violate the client’s rights. D. Notify the surgical team that the client is unable to sign the consent: Notifying the team without attempting alternative legal methods of consent, such as using an X and a witness, would unnecessarily delay the procedure. The client’s comprehension allows informed consent to proceed despite illiteracy.