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 A

Explanation

A. This statement reflects a misconception about menopause and sexual health, indicating a need for education on safe sex practices.
B. This statement indicates the client is taking steps to address discomfort during sexual activity, which is appropriate.
C. This statement reflects body image concerns commonly experienced by older adults and may warrant further exploration but does not necessarily indicate a need for immediate intervention.
D. This statement indicates a normal interest in sexual activity and does not necessarily indicate a need for intervention.

A. Use sterile gloves when removing the old dressing B. Change the dressing four times per day. C. Clean from the incision to the surrounding skin. D. Apply tincture of benzoin prior to removing the dressing

Correct Answer is C

Explanation

A. Clean gloves are typically sufficient for wound care, and the use of sterile gloves may not be necessary for routine dressing changes.
B. Frequent dressing changes can disrupt wound healing and increase the risk of infection. Dressings should be changed according to the healthcare provider's instructions, which are typically less frequent.
C. When cleaning the wound, it is important to start from the incision site and work outward to avoid introducing contaminants into the wound.
D. Tincture of benzoin is a skin adhesive and may not be routinely used for dressing changes, especially if it is not specified in the healthcare provider's orders.

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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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