The nurse is preparing a patient for surgery. The patient states that she is very nervous and really does not understand what the surgical procedure is for or how it will be performed. What is the most appropriate nursing action for the nurse to take?

Choice A reason: Having a patient sign an informed consent form when they explicitly state they do not understand the procedure is a violation of legal and ethical standards. Informed consent requires that the patient has a clear understanding of the risks, benefits, and alternatives before signing the legal document. Choice B reason: It is the legal and professional responsibility of the surgeon (physician) to explain the surgical procedure, its purpose, and the associated risks. The nurse's role in informed consent is to witness the signature and advocate for the patient. If the patient expresses a lack of understanding, the nurse must notify the physician to provide further clarification. Choice C reason: While nurses can provide supplemental education and clarify information already given by the doctor, the primary task of explaining the procedure for the purpose of informed consent must be performed by the physician. The nurse should not take over the responsibility of the initial detailed explanation of the surgical technique or rationale. Choice D reason: A pamphlet is a helpful educational adjunct but cannot replace the verbal dialogue required for informed consent. It does not allow for a two-way conversation where the patient can ask specific questions to alleviate their "nervousness" or address their specific lack of understanding about the surgery.