The patient has an order for Penicillin-G 1 gram intramuscularly. The instructions read: reconstitute the vial with 9.8 mL of normal saline to yield 2 grams in 10 mL. How many mL will the nurse administer per dose? Round the answer to the nearest whole number. Record numeric answer only.

Choice A reason: Answering questions is appropriate if within the nurse’s scope, but surgical risks and benefits require detailed, procedure-specific knowledge from the surgeon. Incorrect answers risk misinforming the client, affecting consent validity, making this less appropriate than consulting the surgeon for accurate information.

Choice B reason: Requesting the surgeon ensures the client receives accurate, procedure-specific information on risks and benefits, critical for informed consent. The surgeon’s expertise addresses complex questions, ensuring legal and ethical standards, making this the most appropriate action for post-consent clarification in this surgical scenario.

Choice C reason: Placing the consent form in the medical record is routine but does not address the client’s questions. Failing to clarify risks and benefits may invalidate informed consent, risking ethical and legal issues, making this action inappropriate as a response to the client’s immediate concerns.

Choice D reason: Notifying the nurse manager escalates the issue unnecessarily, as the surgeon is the appropriate expert for surgical risks and benefits. This delays resolution, potentially compromising informed consent, making it less appropriate than involving the surgeon for accurate, procedure-specific information.

Choice A reason: Continuing aspirin increases bleeding risk during surgery due to its antiplatelet effect, inhibiting clot formation for 7–10 days. This can lead to excessive intraoperative hemorrhage, making it an incorrect instruction, as stopping aspirin is standard to ensure hemostasis.

Choice B reason: Increasing aspirin heightens bleeding risk, as its antiplatelet effect persists for 7–10 days. Discontinuing only 3 days prior is insufficient, and resuming 3 days post-surgery risks bleeding, making this an incorrect and unsafe instruction for surgical preparation.

Choice C reason: Stopping aspirin 7 days before surgery is standard, as its antiplatelet effect lasts 7–10 days, reducing bleeding risk. This allows platelet function to normalize, preventing hemorrhage, making it the correct instruction, with physician guidance for conditions like cardiac stents.

Choice D reason: Taking half doses of aspirin does not mitigate its antiplatelet effect, which persists for 7–10 days, increasing surgical bleeding risk. This is insufficient to ensure hemostasis, making it an incorrect instruction compared to stopping aspirin 7 days prior for safer outcomes.