A nurse is preparing to witness a client who is scheduled for a bilateral mastectomy sign the informed consent form. The client states, "I am glad they are not taking both breasts." Which of the following actions should the nurse take?

A. "Once the form has been signed, you cannot change your mind." This is incorrect as the client has the right to change their mind and withdraw consent at any time.
B. "I will explain the complications of the procedure." The nurse’s role in informed consent is to witness the signing and ensure the client understands, not to explain the procedure's details, which is the provider’s responsibility.
C. "I will obtain your signature which states that you understand the procedure." This is correct. The nurse’s role is to witness the client’s signature on the informed consent form, indicating that the client has understood the information provided by the provider.
D. "I can explain alternative treatments to you."Explaining alternative treatments is the responsibility of the provider, not the nurse.

A. Offer the client hot chocolate or tea prior to rest periods. While warm beverages can be comforting and help some people relax, hot chocolate and many teas contain caffeine, which can interfere with sleep. Even decaffeinated options might not be the best choice close to bedtime due to the fluid content, which could increase the need for nighttime urination, disrupting sleep.
B. Encourage the client to ambulate in the hallway before resting. Light physical activity, such as ambulating, can help promote relaxation and reduce muscle tension, which might aid sleep. However, it is essential to consider the client's postoperative status and ensure that ambulation is safe and appropriate for their condition. Overexertion close to bedtime might have the opposite effect and increase alertness.
C. Cluster routine care activities to allow rest periods without interruptions. This is a highly recommended intervention. By clustering care activities, the nurse can minimize disturbances during rest periods, allowing the client to have longer, uninterrupted sleep. This is crucial in a hospital setting where frequent interruptions can significantly impact the quality of sleep.
D. Encourage the client to watch television to relax. While watching television can be relaxing for some, it can also be stimulating and potentially interfere with sleep due to the light and noise. Blue light emitted from screens can suppress melatonin production, making it harder to fall asleep. Therefore, this is generally not recommended as a sleep aid.