The nurse is planning care for four postoperative clients, each with a different drainage system. Which information, received in report, requires immediate follow-up intervention by the nurse?

Choice A reason: Calling the client's next of kin and having them provide verbal consent is not the appropriate action for the nurse to take. The client is an adult and has the right to make his own decisions about his health care. The nurse should respect the client's autonomy and not involve his family without his permission.

Choice B reason: The nurse can reinforce information but cannot provide the primary explanation of the procedure. The HCP must clarify any confusion before consent is valid.

Choice C reason: Informed consent requires that the client fully understands the procedure, risks, benefits, and alternatives before signing. The healthcare provider (HCP) is responsible for explaining the procedure, not the nurse. Since the client’s question indicates misunderstanding, the nurse must notify the provider so they can clarify the information before consent is obtained.

Choice D reason: Postponing the procedure until the client understands the risks/benefits is not the best action for the nurse to take. The cardiac catheterization may be a time-sensitive and necessary procedure for the client's condition. The nurse should not delay the procedure without a valid reason. The nurse should try to enhance the client's understanding and confidence before postponing the procedure.

Choice A reason: This client requires the PN's intervention, as she may have a psychological or physiological problem that affects her appetite and nutrition. The PN should assess the client's preferences, needs, and barriers, and provide appropriate interventions such as offering alternatives, supplements, or snacks, or consulting a dietitian or a social worker.

Choice B reason: This client can be assigned to the UAP, as long as they have been trained and supervised by the PN. The UAP should assist the client with feeding using the adaptive equipment, and encourage the client's independence and self-esteem.

Choice C reason: This client can be assigned to the UAP, as long as they have been trained and supervised by the PN. The UAP should assist the client with feeding in a slow and gentle manner, and monitor the client's swallowing and choking risk.

Choice D reason: This client can be assigned to the UAP, as long as they have been trained and supervised by the PN. The UAP should assist the client with feeding using soft and moist foods, and check the client's dentures for fit and cleanliness.