During transport to the operating room for mitral valve replacement, a patient with a signed consent form says that she does not want to go through with the surgery and asks to be returned to her room. What is the best response from the nurse?

Choice A reason: Pressuring the patient to proceed disregards her autonomy and right to revoke consent. Exploring her concerns respects her decision, making this incorrect, as it dismisses the patient’s expressed wish to cancel the mitral valve replacement surgery during transport.

Choice B reason: Highlighting rescheduling delays may coerce the patient, undermining her right to refuse. Addressing her fears validates her feelings, making this incorrect, as it prioritizes logistics over the patient’s autonomy and emotional state during the surgical consent process.

Choice C reason: Asking about the patient’s thoughts acknowledges her fear and respects her right to revoke consent, facilitating open communication. This aligns with ethical nursing practice, making it the correct response to support the patient’s decision regarding mitral valve replacement surgery.

Choice D reason: Dismissing the patient’s refusal with reassurance about medications ignores her autonomy and consent rights. Exploring her concerns is more appropriate, making this incorrect, as it fails to address the patient’s explicit wish to cancel the surgery during transport.

Choice A reason: White bread and carbonated beverages may trigger IBS symptoms like bloating. Chicken, rice, and broccoli are low-irritant, making this incorrect, as it includes potential IBS triggers compared to the nurse’s teaching on a suitable diet for symptom management.

Choice B reason: Broiled chicken, brown rice, and steamed broccoli are low-irritant, high-fiber foods, with apple juice being IBS-friendly. This aligns with dietary recommendations for IBS, making it the correct menu selection showing the client’s understanding of the nurse’s teaching.

Choice C reason: Grilled cheese’s dairy and hot tea’s caffeine may exacerbate IBS symptoms. Chicken and rice are safer, making this incorrect, as it includes potential irritants compared to the nurse’s teaching on a diet that minimizes IBS symptom triggers for the client.

Choice D reason: Coffee, even with low-fat milk, is a known IBS trigger due to caffeine. Chicken, rice, and broccoli are better choices, making this incorrect, as it includes a stimulant that contradicts the nurse’s dietary teaching for managing irritable bowel syndrome effectively.