An informed consent was to be obtained from the patient for his scheduled open cholecystectomy. Which circumstance could prevent the patient from signing his informed consent?
a. Pain radiating to the scapula
b. An injection of Demerol, 75 mg IM, 1 hour ago
c. The presence of jaundice and scleral icterus
d. His concern over his insurance company not covering the procedure
B
Informed consent should not be obtained if the patient is disoriented and under the influence of sedatives.
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