A nurse is caring for an adolescent who is scheduled for insertion of an intrauterine device. Which of the following actions should the nurse take?
Explanation & Rationale
A. Reschedule the procedure until the client's guardian provides written consent: In most states, adolescents have the legal right to consent to reproductive health services, including contraception. Guardian consent is not required for IUD insertion. B. Call the adolescent's guardian to obtain verbal consent prior to the procedure: Involving a guardian without the adolescent’s permission breaches confidentiality. Reproductive health decisions are protected for adolescents, and verbal consent from a guardian is unnecessary. C. Encourage the adolescent to wait to ask questions about the device until after its insertion: It is essential for the adolescent to receive complete education and have all questions answered before the procedure. Informed consent cannot be obtained after the procedure has already been done. D. Witness the adolescent's signature on the consent form: Adolescents can legally provide consent for contraception. The nurse’s role is to witness the signature, ensuring the adolescent understands the procedure and that the consent is voluntary.