A 65-year-old client is scheduled for a colonoscopy tomorrow. The nurse has just explained the procedure, risks, benefits, and alternative treatments. The client states, 'I understand, but I still have some questions about how they find the polyps.' Which action should the nurse take next?

Question: A 65-year-old client is scheduled for a colonoscopy tomorrow. The nurse has just explained the procedure, risks, benefits, and alternative treatments. The client states, 'I understand, but I still have some questions about how they find the polyps.' Which action should the nurse take next?

Answer options:

• Proceed with obtaining the client's signature on the informed consent form, assuming understanding.
• Reiterate the explanation of the procedure's purpose and how polyps are identified during the colonoscopy.
• Inform the client that they can ask the gastroenterologist any remaining questions before the procedure. ✅ Document that the client has questions and notify the healthcare provider.

Correct answer: Document that the client has questions and notify the healthcare provider.

Explanation: For informed consent to be valid, the client must understand the information provided. If the client expresses remaining questions or a lack of understanding, the nurse's role is to clarify what has been taught, but the physician is ultimately responsible for obtaining informed consent and answering specific, detailed questions about the procedure. Therefore, documenting and notifying the provider is essential to ensure the client is fully informed before giving consent.