A community health nurse is developing a brochure about hypertension.
Which of the following actions is the bestfor the nurse to take?

Choice A rationale:

Hegar's sign is a softening of the uterine isthmus, which occurs during early pregnancy. It is not related to changes in the color of the vagina and vulva.

Choice B rationale:

Chloasma refers to the appearance of dark, blotchy, and hyperpigmented skin patches that can occur during pregnancy, primarily on the face. It is not related to changes in the color of the vagina and vulva.

Choice C rationale:

Ballottement is a technique used during a physical examination to assess for a floating fetus within the amniotic fluid. It is not related to changes in the color of the vagina and vulva.

Choice D rationale:

Chadwick's sign is the purplish or bluish discoloration of the vaginal and vulvar mucosa that can occur during pregnancy. This sign is due to increased blood flow to the area, which is a normal physiological change in pregnancy.

The correct answer is Choice A. Notify the charge nurse about the situation.

Choice A rationale: This is the correct answer because the nurse should notify the charge nurse or the provider who is responsible for obtaining informed consent from the client. The nurse cannot obtain informed consent from a client who does not understand the purpose, risks, benefits, and alternatives of the procedure. The nurse should also respect the client’s right to refuse or withdraw consent at any time. By notifying the charge nurse or the provider, the nurse ensures that the client receives adequate information and clarification before giving consent.This is consistent with the ethical and legal principles of informed consent in nursing

Choice B rationale: This is incorrect because the nurse should not ask the client to sign the consent form anyway. This would violate the client’s autonomy and right to make informed decisions about their health. It would also expose the nurse and the provider to legal and ethical consequences for performing a procedure without valid consent. The nurse should ensure that the client understands the information provided and agrees to the procedure voluntarily. Asking the client to sign the consent form anyway would undermine the trust and communication between the client and the healthcare team.

Choice C rationale: This is incorrect because the nurse should not explain to the client that the procedure will help treat his diagnosis. This is not the nurse’s role or responsibility in the process of obtaining informed consent. The nurse should not provide information that is beyond their scope of practice or expertise. The nurse should also not persuade or coerce the client to agree to the procedure. The nurse should refer the client to the provider who can explain the rationale and evidence for the procedure and answer any questions or concerns the client may have.

Choice D rationale: This is incorrect because the nurse should not remind the client about the specifics of the procedure. This is not the nurse’s role or responsibility in the process of obtaining informed consent. The nurse should not repeat or restate information that the provider has already given to the client. The nurse should also not assume that the client has forgotten or misunderstood the information. The nurse should respect the client’s right to ask questions and seek clarification from the provider who can provide accurate and comprehensive information about the procedure.