The nurse is performing preoperative thyroidectomy instruction for a patient with Graves' disease. The patient begins to cry and says, "I am so nervous and can't listen to you. Just get out!" What should the nurse do next?
a. Give the patient written preoperative in-structions.
b. Inform the charge nurse or surgeon of the patient's behavior.
c. Remind the patient the preoperative in-formation is important.
d. Ask the family member to explain the preoperative instructions.
B
Informing the charge nurse or surgeon will alert them to possible ineffective control of the thy-roid, which can cause thyroid crisis postoperatively. The patient is not ready to read or listen to any instructions at this time, and instruction should not be deferred to a family member.
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