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The nurse enters the room of a preoperative client to obtain the client's signature on the surgical consent form. Which question is the most important for the nurse to ask the client?

A. "When did the surgeon explain the procedure to you?"
B. "Is there any member of your family going to be here during your surgery?"
C. "Have you been instructed in postoperative activities and restrictions?"
D. "Have you received any preoperative pain medication?"

1 Answer

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Final answer:

A. "When did the surgeon explain the procedure to you?" The most important question is about when the surgeon explained the procedure to ensure the patient is fully informed before giving consent. This is crucial for the safety and care of the patient during the surgery.

Step-by-step explanation:

The most important question for the nurse to ask the preoperative client before obtaining their signature on the surgical consent form is "When did the surgeon explain the procedure to you?" This question ensures that the client has been provided with relevant information about the surgery, which is a critical component of informed consent. Before the administration of anesthesia and surgery, it is vital that the patient is aware of the identity of the surgical team, the surgical site and procedure, and has given consent. Additionally, the clarification of key concerns by the surgical team, such as anticipated critical events and surgical details, and the confirmation of patient understanding are essential for the safety and care of the patient.Confirmation of whether the client has received any preoperative medication is also important, although it does not directly relate to the informed consent process.

Questions about family members being present during surgery and instructions in postoperative activities, while significant for patient support and recovery, are not as critical at the moment of signing the surgical consent form as ensuring the patient has fully understood the procedure.The most important question for the nurse to ask the client in this situation would be option A: "When did the surgeon explain the procedure to you?" This question is important because it ensures that the client has been informed and understands the procedure they are about to undergo. It also helps to identify any potential gaps in the client's knowledge that can be addressed before the surgery.

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