A nurse is providing teaching to a client who has thrombocytopenia following chemotherapy. Which of the following statements indicates an understanding of the teaching?

A) Explain the procedure to the client before verifying informed consent: The nurse should not explain the procedure, as that responsibility lies with the healthcare provider performing the surgery. The nurse's role is to verify that informed consent has been appropriately obtained and that the client understands what they are consenting to.

B) Inform the client about the condition that requires treatment: While it’s important for clients to understand their condition, this should have been addressed prior to the consent process by the healthcare provider. The nurse's role at this stage is not to provide this information but rather to ensure that consent has been appropriately documented.

C) Provide information on the informed consent form about the benefits of the surgery: Although informing the client about the benefits of the surgery is important, this should have been done by the physician prior to obtaining consent. The nurse does not add information to the consent form but verifies that it accurately reflects the discussion that took place between the physician and the client.

D) Confirm the client's signature is authentic: Verifying the authenticity of the client's signature is a critical nursing responsibility. This ensures that the consent is valid and that the client has indeed agreed to the procedure as documented. The nurse must ensure that all legal and ethical standards are met before the surgery can proceed.

A. Insert an 18-gauge IV catheter: While establishing IV access is important for fluid resuscitation and medication administration, it is not the immediate priority in this scenario.

B. Apply 100% humidified oxygen: This action is critical as the client is showing signs of potential airway compromise (drooling and hoarseness), which may indicate edema or inhalation injury. Providing humidified oxygen can help maintain airway patency and support respiratory function, making it the top priority.

C. Obtain a baseline ECG: While cardiac monitoring is important in many emergency situations, it is not the immediate concern in this case, where airway issues are evident.

D. Obtain a blood specimen for ABG analysis: Although assessing arterial blood gases can provide useful information about the client's respiratory status, it is not the first priority when there are clear signs of airway compromise. Addressing the airway issue is critical to prevent respiratory failure.