The nurse understands the following about informing and obtaining consent for an 8-year-old patient who is undergoing a heart transplant:

The child must be informed about the surgery.
The parent/guardian must be informed of the risks and benefits of the procedure and sign the informed consent on behalf of the child.

Explanation

•Any child who is in the concrete operations stage of development must give assent, not consent. (This is usually any child over 7 years of age)

•Assent means having knowledge of the surgery and agreement with the parent or other person giving consent. The child does not need to sign anything.

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