If a client does not understand a surgical procedure before signing consent, what should the nurse do?

When a client does not fully understand a surgical procedure before signing consent, the most appropriate response is to contact the provider who will be performing the procedure. The provider is responsible for ensuring that the client has a thorough understanding of the procedure, including its risks, benefits, and alternatives. It is crucial for the client to receive accurate and detailed information from the person who is trained and qualified to answer their questions, as this is a fundamental aspect of informed consent.

Involving the provider allows for the opportunity to clarify any misconceptions and ensure that the client feels comfortable and informed about their decision. This action aligns with the principles of patient autonomy and informed consent, where patients must have the necessary information to make decisions about their healthcare.

While simplifying the explanation of the procedure might seem helpful, it is not sufficient if the client still has questions or concerns that need to be addressed by the provider. Asking the client if they want to proceed without understanding the procedure does not prioritize their comprehension and could lead to an uninformed decision. Offering to delay the surgery can be considerate, but without addressing the client's understanding of the procedure, it does not resolve the underlying issue of informed consent. Therefore, contacting the provider is the most appropriate course of action.