A nurse is collecting data from a client who is at 35 weeks of gestation. Which of the following findings should the nurse report to the provider?

A. "I do not need to sign a consent form before this procedure.": An intravenous pyelogram is an invasive diagnostic procedure that uses contrast dye, so informed consent is required. The client must understand the risks, benefits, and alternatives before the procedure is performed.

B. "I can have a meal up to 2 hours before the procedure.": Clients are typically instructed to remain NPO for several hours before an intravenous pyelogram to reduce the risk of aspiration and improve visualization of the urinary tract. Eating shortly before the procedure is not recommended.

C. "I will feel a warming sensation after the injection of the dye.": A transient feeling of warmth or flushing is a common and expected response after contrast dye administration during an intravenous pyelogram. Recognizing this normal sensation helps reduce anxiety and indicates appropriate understanding of what to expect during the procedure.

D. "I should limit my fluid intake for 2 days after the procedure.": Clients are encouraged to increase fluid intake after the procedure to help flush the contrast dye from the kidneys. Limiting fluids could increase the risk of nephrotoxicity and delay dye excretion.

A. “When I sign the consent form, I am stating that the client appears to be competent to give consent.”: The nurse’s role in informed consent is to witness the client’s signature and verify that the client appears competent and is signing voluntarily. This demonstrates proper understanding of the nurse’s legal responsibility in the consent process.

B. “I will sign the consent form to indicate that the client has received written materials explaining the procedure.”: Providing written materials and explaining the procedure is the responsibility of the healthcare provider performing the procedure. The nurse does not sign the consent to verify that teaching has occurred.

C. “I will provide the client with an explanation of the procedure before I sign the consent form.”: Explaining the procedure, including risks and benefits, must be done by the provider who will perform it. The nurse may reinforce information but does not provide the primary explanation for consent.

D. “It is my responsibility to obtain informed consent from the client prior to the procedure.”: Obtaining informed consent is the legal responsibility of the provider performing the procedure. The nurse supports the process by witnessing the signature and ensuring consent is given voluntarily.