An LPN is assigned to care for a client who is scheduled for a surgical procedure and requires an informed consent form to be signed. The client states, 'I'm not really sure what the doctor said about the risks, but I trust them.' What is the MOST appropriate action for the LPN to take?
- AExplain the risks of the surgery to the client using a simplified language.
- BWitness the client's signature, as they have expressed trust in the physician.
- CNotify the registered nurse (RN) and the physician that the client has questions about the procedure's risks.
- DEncourage the client to sign the form, emphasizing the importance of proceeding with the surgery.
Show answer & explanationAnswer & explanation
Correct answer: C. Notify the registered nurse (RN) and the physician that the client has questions about the procedure's risks.
Informed consent requires that the client fully understands the nature of the procedure, its benefits, risks, and alternatives. If a client expresses uncertainty about the risks, the LPN's role is not to explain them (as that is the physician's responsibility) or to encourage signing, but to act as a client advocate by notifying the RN and physician so they can provide further clarification and ensure truly informed consent.
Why the other options are wrong
- A. Explaining the risks is the physician's responsibility. The LPN's role is to clarify information and reinforce teaching, not to provide initial disclosure of risks, benefits, and alternatives for surgical procedures.
- B. Witnessing a signature implies that the client has given informed consent, which is not true if they express uncertainty about risks.
- D. Encouraging a client to sign without full understanding undermines the principle of informed consent and client autonomy.
Informed Consent: LPN Role
The legal and ethical process where a client gives voluntary permission for a medical procedure or treatment after receiving and understanding all necessary information, including risks, benefits, and alternatives.
- Physician is responsible for providing comprehensive information.
- LPN's role is to witness the signature and ensure client appears to understand.
- If client has questions, LPN must notify RN/physician for further clarification.
Memory trick: Consent is clear understanding, not just a signature.