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The nurse is about to witness a client's signature on the consent form for a laparoscopic cholecystectomy. The client says, "The surgeon said something about maybe needing a bigger cut, but I don't really understand why." Which action should the nurse take?

  1. ANotify the surgeon that the client needs more information before signing.
  2. BExplain to the client why a surgeon may need to convert to an open incision.
  3. CWitness the signature, because the client has already agreed to have the surgery.
  4. DReassure the client that conversion to an open incision is rarely needed.
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Answer

A

A: The surgeon should clarify the unresolved procedure-specific question before consent. B: The nurse should not replace the surgeon's required disclosure. C: An unresolved material question prevents assuming informed signing. D: Reassurance about frequency does not answer the client's question.

A

The surgeon should clarify the unresolved procedure-specific question before consent.

B

The nurse should not replace the surgeon's required disclosure.

C

An unresolved material question prevents assuming informed signing.

D

Reassurance about frequency does not answer the client's question.

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ID: Q03