A nurse on a surgical unit is caring for a client who is scheduled for surgery. The client states. "I cannot do this. I do not want this surgery." Which of the following actions should the nurse take?

Tell the client about the benefits of the surgery.

Inform the client that it is too late to stop the surgery.

Let the client know that their surgeon will be notified of their decision.

Reassure the client that it is expected to be nervous before surgery.

Answer and Explanation

The Correct Answer is C

A.   While educating the client about the benefits of surgery is important, it is not appropriate to dismiss the client's concerns in this situation.

B.   It is important to respect the client's autonomy and decision-making process. If the client expresses a desire to reconsider the surgery, their wishes should be respected.
C.   The nurse should respect the client's decision and communicate their wishes to the surgical team for further discussion and decision-making.
D.   While reassurance is important, it should be provided in a way that acknowledges and respects the client's concerns and decisions.

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Correct Answer is D

Explanation

A. While a prescription may be necessary, attempting less restrictive alternatives should be the first action.
B. Documentation is important but should not precede attempting less restrictive alternatives.
C. Education about the use of restraints is important but should follow attempts at less restrictive alternatives.
D. The nurse should exhaust all possible alternatives to restraints before considering their use, in line with the principle of least restrictive intervention.

A. "I should go to bed at a different time each night." B. "I should attend a support group each week." C. “I should exercise for 1 hour each week." D. "I should do tasks myself, rather than delegate."

Correct Answer is B

Explanation

A. Maintaining a consistent sleep schedule is important for stress management; variability in sleep times can exacerbate stress.
B. Social support can help alleviate stress by providing a sense of belonging and sharing experiences.
C. Regular exercise is beneficial for stress management, but the frequency and duration may vary based on individual needs. However, 1 hour every week is little.
D. Delegating tasks can help reduce stress by distributing workload and responsibilities.

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A nurse on a surgical unit is caring for a client who is scheduled for surgery. The client states. "I cannot do this. I do not want this surgery." Which of the following actions should the nurse take?

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A nurse on a surgical unit is caring for a client who is scheduled for surgery. The client states. "I cannot do this. I do not want this surgery." Which of the following actions should the nurse take?