A patient who is having outpatient gallbladder surgery states he will have a ride to the hospital for the surgery, but not a ride home, and he does not have anyone to be with him at home. Which nursing response is most appropriate at this time?
1. "The health care provider will refuse to do the surgery on a patient who must go home alone."
2. "Would it be better to reschedule your surgery until a day when you have someone who can take you home?"
3. "I am sorry; you will not be able to have your surgery then."
4. "No problem, you can drive yourself home after the surgery."
2
Rationale 1: Telling the patient that the health care provider will refuse to do surgery is not helpful and may be interpreted as confrontational.
Rationale 2: The nurse's priority is to assist the patient with alternatives for transportation.
Rationale 3: Telling the patient he cannot have surgery is not therapeutic and could be considered more punitive than helpful.
Rationale 4: The patient should not be told it is okay to drive himself home, as this could create liability for the institution.
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