A nurse is obtaining informed consent from a client who is preoperative. Which of the following actions should the nurse take? (Select all that apply.)

A. Validate the signature is authentic: As a witness to the consent, the nurse confirms that the person signing the form is indeed the client or their legal guardian. B. Confirm that the consent is voluntary: The nurse must ensure the client is not being coerced or forced into the surgery and is signing of their own free will. C. Establish that the client is able to pay for the surgical procedure: Financial arrangements are handled by the billing/admissions department. Ability to pay is not a component of informed consent for medical treatment. D. Verify the client understands the surgical procedure: While the nurse does not explain the procedure, the nurse must assess if the client understood what the provider said. If the client is confused, the nurse must notify the provider to return and clarify. E. Explain the surgical procedure to the client: This is the scope of practice of the provider (surgeon). The provider must explain the risks, benefits, and alternatives. The nurse reinforces teaching but does not provide the primary explanation for consent.