A nurse is assisting a provider with obtaining informed consent from a client who is scheduled for surgery. Which of the following actions should the nurse take?

A. Turning one's back to the sterile field is not an appropriate aseptic technique. Doing so risks contaminating the sterile field as the nurse’s back may inadvertently come into contact with sterile items or may cause contamination from the environment.
B. Holding the hands above the waist is correct aseptic technique. Once sterile gloves are donned, the nurse should keep their hands above the waist and in front of them to maintain sterility. This position helps prevent accidental contamination of the gloves or sterile field and ensures that the hands remain within the sterile zone.
C. While applying goggles is an important part of personal protective equipment (PPE) in some situations, it is not specifically related to maintaining surgical asepsis after donning a sterile gown and gloves. Goggles may be used for protection against splashes or droplets, but they do not directly impact the sterility of the surgical field or the aseptic technique of handling sterile items.
D. Putting on a face mask is an essential part of PPE for maintaining sterile technique and protecting both the patient and the nurse from contamination. However, this action typically occurs before donning the sterile gown and gloves.

A. Documentation is a critical component in nursing practice, but it should come after addressing the immediate concern of the client's refusal. Accurate documentation ensures that there is a record of the client's refusal and the nurse’s actions, but it does not directly address the reason behind the refusal or the potential consequences of the refusal.
B. Ensuring that the client understands the risks of not taking their medication is a priority because it addresses the client’s right to make informed decisions about their own health. If a client refuses medication, it’s important to confirm that they are making an informed choice by understanding the potential consequences.
C. Disposing of the medication is not the first step in response to a refusal. This action is typically taken after confirming the client’s refusal and ensuring that they understand the implications. The focus should first be on addressing the refusal and ensuring informed decision-making before handling the medication.
D. Informing the provider of the client’s refusal is important for coordinating care and ensuring that the provider is aware of the situation. However, this should occur after the nurse has ensured that the client is making an informed decision and understood the risks involved.