Question

A patient who is being admitted to the surgical unit for a hysterectomy paces the floor, repeatedly saying, I just want this over. What should the nurse do to promote a positive surgical outcome for the patient?

a. Ask the patient what her specific concerns are about the surgery.
b. Reassure the patient that the surgery will be over soon and she will be fine.
c. Redirect the patient's attention to the necessary preoperative preparations.
d. Tell the patient she should not be so anxious because she is having a common, safe surgery.

Answer 1

The nurse should ask the patient about her specific concerns regarding the surgery to address her anxiety and ensure the patient is informed and ready for the procedure.

Step-by-step explanation:

To promote a positive surgical outcome for a patient who is anxious before a hysterectomy, a nurse should engage the patient in a supportive manner. The best approach is a. Ask the patient what her specific concerns are about the surgery. This allows the patient to voice her anxieties and provides the nurse an opportunity to address specific issues, possibly alleviating some of the patient's fear. The nurse should ensure that all preoperative preparations are completed, including the discussion of critical and unexpected steps, operative duration, and anticipated blood loss. The anesthesia staff should review concerns specific to the patient, while nursing staff confirm sterility, equipment availability, and any other concerns to ensure safety and preparedness.