Final answer:
The best response from the nurse for a client showing signs of anxiety before a total abdominal hysterectomy would be to ask about any concerns or fears the client may have regarding the surgery.
Step-by-step explanation:
The nurse observes that the client who is set for a total abdominal hysterectomy with bilateral salpingo-oophorectomy is displaying signs of anxiety, such as continuous talking and difficulty maintaining eye contact. In this situation, the best response by the nurse would be to ask the client about any concerns or fears regarding the surgery (option b). This approach allows for an open dialogue and provides the patient with an opportunity to express their worries, which is a key component of preoperative care and patient-centered communication.
Furthermore, the surgical team, including the surgeon, nurse, and anesthesia professional, plays a crucial role in the recovery and care of the patient by reviewing aloud key concerns, confirming critical aspects of the procedure, and managing expectations for the upcoming surgery.
By addressing the patient's concerns directly, the nurse can then provide reassurance, suggest relaxation techniques if appropriate, and ensure that the patient feels heard and supported, thereby decreasing preoperative anxiety and improving overall patient care.