The patient scheduled for an above-the-knee amputation for a gangrenous toe received preoperative medication 20 minutes ago
When the transfer team arrives to take the patient to the operating suite, the nurse overhears the patient say, "I'll be so glad to get rid of my sore toe. I was afraid they would have to take my whole foot." What action should be taken by the nurse? 1. Continue the transfer, as the patient is not reliable since narcotics have been administered.
2. Check to see if the patient signed consent for the above-the-knee amputation.
3. Remind the patient that the surgery is to remove his lower leg, not just his toe.
4. Stop the transfer and notify the surgeon of the patient's comment.
4
Rationale: The nurse should advocate for the patient by stopping the transfer and contacting the surgeon. The other options are based upon the assumption that the patient understands the procedure, which may not be correct.
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