The nurse has reviewed the Nurses' Notes and Provider Prescriptions at 1100 and Diagnostic Results on Day 3. The nurse is preparing the client for surgery. Which of the following actions should the nurse take? Select all that apply.

The client has a confirmed ectopic pregnancy in the right fallopian tube and is scheduled for laparoscopic salpingostomy, which is a surgical emergency to prevent rupture and hemorrhage. Preoperative nursing care focuses on ensuring hemodynamic stability, preparing for potential blood loss, and verifying legal and safety requirements before surgery. Because ectopic pregnancy can rapidly lead to internal bleeding, preparation for IV access, laboratory evaluation, and surgical readiness is essential. The nurse must also ensure adherence to preoperative protocols such as NPO status and informed consent. Rationale: A. Preparing an 18-gauge peripheral IV is appropriate because it allows rapid administration of fluids or blood products if hemorrhage occurs during ectopic pregnancy surgery. Larger-bore IV access is essential in surgical patients at risk for significant blood loss. This ensures immediate vascular access for resuscitation if needed. B. Verifying that the consent form is signed is a legal and safety requirement before surgery. The nurse ensures that informed consent has been obtained after the provider explains the procedure, risks, and benefits. Surgery cannot proceed without valid consent unless it is a life-threatening emergency. C. Administering AB positive blood products if needed is incorrect because blood type compatibility must be strictly followed. The client’s blood type is B negative, and Rh compatibility is critical to prevent transfusion reactions. Blood products must be matched appropriately, not assumed as AB positive. D. Reminding the client to remain NPO prior to surgery is essential to reduce the risk of aspiration during anesthesia. Preoperative fasting helps ensure an empty stomach, minimizing complications such as vomiting and aspiration pneumonitis. This is a standard safety measure before all surgical procedures. E. Administering Rh immune globulin prior to surgery is not appropriate at this time without provider order and timing consideration. Rh immune globulin is typically given after delivery or significant fetal-maternal hemorrhage, not preoperatively in this context. The priority is surgical stabilization rather than prophylactic administration at this stage. F. Obtaining a complete blood count is important to assess baseline hemoglobin, hematocrit, and platelet levels before surgery. The client already shows mild anemia, which may worsen with surgical blood loss. This information helps guide intraoperative and postoperative management. G. Explaining the surgical procedure to the client is not the nurse’s role because informed consent and procedural explanation are the responsibility of the provider. The nurse may reinforce understanding but should not introduce or explain the procedure in detail. This could interfere with the legal consent process.