Medical-Surgical Nursing 8th Edition by Donna Ignatavicius , Linda Workman

Exercise 2

The patient states the surgeon discussed the addition of a second procedure to the one indicated on the consent. The patient is visibly upset that the consent he is asked to sign with the surgical resident reflects only one procedure and cannot understand why the nurse and resident do not have the authority to "fix" the consent. In addition, he states he will not take his wedding ring off because it has never left his hand since his wife put it there 30 years ago.
Under what conditions could the second procedure be performed?