A client scheduled for surgery has signed the consent form but refuses to have a Foley catheter placed, saying "That's not part of the surgery." What should the nurse do?
1. Explain that this is part of the surgical prep and continue with the procedure.
2. Explain that the client has already signed the consent, and place the catheter.
3. Respect the client's wishes and document accordingly.
4. Offer to call the physician.
Correct Answer: 3
Rationale 1: Battery exists when there is not consent, even if the client was not asked. In this case, the client has the right to refuse other treatment surrounding pre- and post-op care.
Rationale 2: Battery exists when there is not consent, even if the client was not asked. In this case, the client has the right to refuse other treatment surrounding pre- and post-op care.
Rationale 3: Consent is required before procedures are performed. Depending on the invasiveness of the procedure, a written consent may be required. The client signed a consent form for surgery, and the refusal for placement of a catheter should be respected. The nurse should document the incident and not continue with the procedure.
Rationale 4: Calling the physician is not inappropriate.
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