A nurse is obtaining informed consent from a client who is preoperative. Which of the following actions should the nurse take? (Select all that apply.)

A. This statement suggests that the client may not understand the purpose or procedure of the CT scan. CT scans typically do not require the client to drink excessive fluids afterward. However, hydration might be encouraged if contrast dye was used to help eliminate it from the body. Education is needed to clarify post-procedure instructions.
B. This statement indicates a misconception about the procedure. CT scans do not usually require anesthesia unless it's a complex situation, such as a young child or someone with severe claustrophobia. It's essential to educate the client about what to expect during the CT scan to reduce anxiety and ensure cooperation during the procedure.
C. This statement shows awareness of potential allergies to contrast dye, which often contains iodine. It indicates that the client understands the importance of disclosing allergies to the healthcare team before the procedure. While this is generally a positive sign of awareness, further education may still be needed to ensure complete understanding of allergy management.
D. This statement demonstrates understanding of pre-procedure instructions, which often include fasting or specific dietary restrictions. It suggests that the client understands the importance of these restrictions to ensure accurate test results and safety during the CT scan.

A. Assessment is the first phase of the nursing process where the nurse collects data about the client's health status, including medical history, current symptoms, and potential allergies. During the assessment phase, the nurse should specifically ask the client about any known allergies to medications, foods, or other substances. This information is crucial for ensuring patient safety during diagnostic testing and any subsequent treatments.
B. The planning phase involves developing a care plan based on the assessment data gathered. While the nurse does consider potential allergies during this phase when planning interventions and care strategies, the primary focus is on creating a plan that addresses the client's specific needs and goals.
C. Implementation is the phase where the nurse carries out the interventions outlined in the care plan. If the client has allergies identified during the assessment phase, the nurse must ensure that these allergies are communicated to the healthcare team and that appropriate precautions are taken during diagnostic testing and any procedures or treatments.

D. Evaluation is the final phase of the nursing process where the nurse assesses the client's response to interventions and determines the effectiveness of the care plan. Although allergies are primarily addressed in the assessment phase, the nurse continues to monitor for allergic reactions throughout the client's care and promptly addresses any concerns that arise.