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    Ati Med Surg Fresno City College Final Proctored Exam

    A preoperative nurse is caring for a client who is being prepped for emergency surgery related to a small bowel obstruction. The client is anxious and doesn't understand what the surgeon means by "adhesions" causing the blockage. Which of the following statements is the best response from the nurse?

    Explanation & Rationale

    Rationale: A. "The most important thing is that now you are here, and it is going to get taken care of." is incorrect because, while reassuring, it does not provide the client with a clear understanding of the medical issue causing their obstruction. Education is essential for informed consent and reducing anxiety. B. "I will be happy to go and get you some reading materials about this procedure to explain it further." is incorrect because providing materials alone may not immediately address the client’s immediate anxiety or confusion; direct explanation is more effective in urgent situations. C. "This means that scar tissue formed from the healing of a past abdominal surgery is now constricting the opening in your intestine." is correct because it provides a clear, concise, and factual explanation that directly addresses the client’s question about adhesions, helping reduce anxiety and improve understanding. D. "It's okay. It happens all the time and I've seen a lot of clients with this issue." is incorrect because this minimizes the client’s concern and does not provide accurate education about the condition, which could increase anxiety or confusion.

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