A patient is in the operating room holding area and tells the nurse that he changed his mind and does not want the procedure. Which of the following should the nurse do?
1. Contact the surgeon and implement steps to cancel the procedure.
2. Explain to the patient that he has already made his decision and cannot change his mind.
3. Ask the surgeon to explain to the patient why he needs the surgery.
4. Document that the preoperative anesthesia has made the patient confused.
Contact the surgeon and implement steps to cancel the procedure.
Rationale: Informed consent includes the patient having the right to refuse treatment even after the procedure or therapy has started. The nurse should contact the surgeon and implement steps to cancel the procedure. The nurse should not tell the patient that he cannot change his mind, nor should the surgeon be called to persuade the patient to continue with the procedure. The nurse should not falsely document that the preoperative anesthesia has made the patient confused.
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