A woman is scheduled for surgery to treat vaginal cancer. When the nurse takes the consent form to the woman to sign, she says "My husband and I are so glad this won't affect sexual activity." Which action by the nurse is most appropriate?
a. Ask if she has any questions about sexual activity.
b. Have the physician return and explain the procedure again.
c. Have the woman sign the consent form.
d. Offer her a referral to a sexual counselor.
B
Unless the physician plans to reconstruct the vagina, postoperative vaginal sexual activity is not possible after this operation. The woman needs a better understanding of the surgical procedure, so the nurse needs to call the doctor and have him/her re-explain the procedure before signing the consent form. Options a and d are good options for any woman having surgical procedures that might affect sexuality, but in this case option b takes priority because it is about informed con-sent.
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