The illiterate patient signs the surgical consent form with an "X." The nurse is aware that this "X" is:

A. Urinary tract infections are common at this stage. While urinary tract infections (UTIs) are a potential postoperative complication, monitoring urine output is not primarily for detecting UTIs but for ensuring adequate kidney function and overall circulatory health.

B. Decreased urine output may be a sign of shock. Decreased urine output can be a key indicator of shock, as inadequate perfusion to the kidneys during shock reduces urine production. This is a critical sign of potential hemodynamic instability and warrants immediate attention.

C. A distended bladder is uncomfortable. While a distended bladder can be uncomfortable, monitoring urine output is more about assessing kidney function and detecting issues like dehydration, shock, or kidney failure rather than simply comfort.

D. Swelling may block the ureters or urethra. Swelling may cause urinary retention, but this is less common as a primary concern postoperatively. The primary reason for monitoring urine output is to assess overall circulation and kidney function, not necessarily to monitor for obstruction.

A. Circulating nurse: The circulating nurse does not obtain the surgical consent. Their role is to assist in the operating room by managing supplies, documentation, and ensuring the safety of the environment.

B. Admitting department: The admitting department is involved in the patient’s admission process but does not obtain surgical consent.

C. Scrub tech: The scrub tech assists during surgery but does not obtain surgical consent. Their role is focused on sterile technique and assisting with instruments.

D. Surgeon: The surgeon is the one responsible for obtaining the patient's informed consent for surgery, ensuring that the patient understands the procedure, risks, and benefits.