A nurse is verifying informed consent for a client who is preoperative for a vaginal hysterectomy. Which of the following statements should the nurse identify as an indication that the client has given informed consent?

Informed consent requires that a client demonstrate understanding of the procedure, its purpose, and its implications, including irreversible outcomes and potential risks. A vaginal hysterectomy involves removal of the uterus through the vaginal route, resulting in permanent loss of fertility and cessation of menstruation. The nurse’s role is to verify that the client understands the nature and consequences of the surgery rather than providing education or correcting misconceptions. Statements that reflect accurate understanding of outcomes indicate valid informed consent. Rationale: A. “I will no longer need a regular gynecological examination.” This is incorrect because even after a hysterectomy, clients still require routine gynecological care. This includes pelvic examinations and screening for conditions such as vaginal or ovarian pathology if the ovaries are retained. The statement suggests misunderstanding of postoperative health maintenance requirements. B. “I should expect my periods to resume in 1 month.” This is incorrect because menstruation permanently ceases after a hysterectomy due to removal of the uterus. There is no endometrial lining to shed, so menstrual cycles do not continue postoperatively. This reflects a lack of understanding of the permanent physiological effects of the procedure. C. “I am thankful I am done having children.” This reflects correct understanding of the procedure’s irreversible effect on fertility. A hysterectomy results in permanent inability to conceive or carry a pregnancy. This statement demonstrates awareness of a key consequence of the surgery, indicating that informed consent criteria are being met. D. “I will have a large scar on my stomach after this procedure.” This is incorrect because a vaginal hysterectomy is performed through the vaginal canal and typically does not involve an abdominal incision. Therefore, it does not result in a visible abdominal scar. This statement indicates confusion about the surgical approach used in this procedure.