If a client cannot read or write and the surgeon requests the spouse to sign the consent, what is the nurse's best action?

In situations where a client is unable to read or write, it is vital to ensure that informed consent is still validly obtained while respecting the client's rights. The best approach in this scenario involves facilitating a method of consent that ensures the client is an active participant in the process.

The action of having the client sign with an "X," in front of witnesses, holds significance because it establishes that the client is acknowledging the consent even if they cannot write their name. This method requires that the procedure is clearly designated, and that witnesses are present to validate the consent process. It affirms that the client is aware of and agrees to the surgery, thereby helping to uphold ethical and legal standards for consent.

In contrast, having the spouse sign without informing the client neglects the client's involvement, potentially undermining the legitimacy of the consent. Requesting a family member to assist could also lead to issues regarding the client's comprehension of the procedure, as this does not ensure direct acknowledgment. Postponing the surgery until the client can read might be impractical and could lead to unnecessary delays in treatment when there are established methods for obtaining consent integrally aligned with the client's autonomy.

Thus, allowing the client to sign with an "X" in front of witnesses supports valid