Final answer:
The nurse should validate the client's feelings and provide reassurance that physical appearance is not the only factor that determines attraction.
Step-by-step explanation:
The best response by the nurse in this situation is option b) Your spouse's love and attraction go beyond physical appearance.
By choosing this response, the nurse validates the client's feelings while also providing reassurance that physical appearance is not the only factor that determines attraction. This response acknowledges the client's concerns and emphasizes the importance of emotional connection and love in a relationship.
It is important to address the client's fears and insecurities surrounding body image, but recommending breast reconstruction (option d) might not be appropriate at this stage, as the client is about to undergo surgery. Focusing on recovery (option c) is also important, but dismissing the client's concerns may not be helpful at this moment.