A nurse is caring for a client who is scheduled for a mastectomy. The client tells the nurse. "I'm not sure I want to have a mastectomy." Which of the following statements should the nurse make?

Choice A reason:

Confirming the correct position of the line by obtaining a blood sample is appropriate. Inserting a central venous catheter is a procedure that involves placing a catheter into a large vein, typically in the neck, chest, or groin. Confirming the correct placement is crucial to prevent complications such as pneumothorax (lung collapse) or catheter misplacement.

Choice B reason:

Instructing the client to cough as the catheter is inserted is not a standard practice during central venous catheter insertion and could lead to unnecessary complications.

Choice C reason:

Placing the head of the client's bed lower than the foot (Trendelenburg position) is not a standard practice during central venous catheter insertion and would not be helpful for this procedure.

Choice D reason:

Cleansing the site with hydrogen peroxide is not the recommended method for central venous catheter insertion. Typically, a sterile technique and appropriate antiseptic solution are used to reduce the risk of infection.

Choice A reason:

"You are upset. We can talk about this later." This response acknowledges the client's feelings, but it doesn't actively engage in addressing the client's concerns. It might also give the impression that the nurse is avoiding the conversation.

Choice B reason:

"Why do you think your life is over?" This response shows empathy and encourages the client to share their thoughts and feelings. It provides an opening for a meaningful conversation and allows the nurse to better understand the client's perspective. This approach demonstrates active listening and a willingness to support the client emotionally.

Choice C reason:

"Would you like to meet with another client who is an amputee?" While connecting the client with another amputee might offer valuable perspective and support, it's important to address the client's immediate concerns and emotions first. This response doesn't directly address the client's statement about feeling that their life is over.

Choice D reason:

"Most people can adjust following this surgery."

While this response provides a general statement of reassurance, it may not fully acknowledge the client's emotions and concerns. It's important to validate the client's feelings and provide an opportunity for them to express themselves before offering reassurance.