護理師照顧一位禁食中且預計進行手術的病人。護理師發現手術同意書尚未簽署。護理師的首要行動為何？
A nurse is caring for a client who is NPO and scheduled for surgery. The nurse notices the consent form has not been signed. What is the nurse's priority action?
- AAsk the client to sign the form immediately要求病人立即簽署表格
- BNotify the surgeon that the informed consent is not signed✓ 正解通知醫師知情同意書尚未簽署
- CCall the operating room to delay the surgery打電話給手術室以延後手術
- DExplain the risks and benefits of the surgery to the client向病人解釋手術的風險和益處
護理師在知情同意過程中的角色是『見證者』與『倡導者』，而非『資訊提供者』。告知病人手術風險、益處及替代方案（D）是外科醫師的法律責任。若同意書未簽署，護理師應立即通知醫師，由醫師負責解釋並取得同意。若護理師強行要求病人簽署（A），則未達到知情同意的程序要求，且可能面臨法律風險。通知醫師（B）是解決問題的正確管道，醫師得知後會親自來解釋並簽署。延遲手術（C）是醫師的權限，護理師應透過通報程序通知相關單位，而非直接決定延後，優先通知主治醫師是確保病人權益最快且合法的作法。
The nurse's role in informed consent is to act as a witness and patient advocate, not as the information provider. Explaining the surgical risks, benefits, and alternatives is the legal responsibility of the surgeon. If the consent is unsigned, the nurse must notify the surgeon so the surgeon can explain the procedure and obtain consent. Forcing the client to sign (A) fails to meet informed consent requirements. Delaying surgery (C) is the surgeon's decision; the nurse should report up the proper channel.
美國對於知情同意（Informed Consent）的規範極為嚴格，護理師僅負責見證簽名；台灣雖也要求醫師解釋，但在實務流程中，護理師常需協助追蹤文件與提醒醫師簽署。