A nurse is interviewing a client who is scheduled for a surgical procedure using nitrous oxide. Which statement by the client is most important for the nurse to communicate to the surgeon?
1. "I've never had any type of surgery before this."
2. "The last surgery I had was done under spinal anesthesia."
3. "I take St. John's wort daily to decrease my tendency toward depression."
4. "I have a fear of enclosed spaces."
Correct Answer: 3
Rationale 1: While this is an important finding, it is not the highest priority.
Rationale 2: This is important, but not the most important statement.
Rationale 3: St. John's wort should be discontinued 2 to 3 weeks prior to administration of general anesthesia due to possible hypotension risk.
Rationale 4: This fear is not a significant finding for this situation.
Global Rationale: St. John's wort should be discontinued 2 to 3 weeks prior to administration of general anesthesia due to possible hypotension risk. Telling the surgeon that the client has never had any type of surgery in the past or that the last surgery was done under spinal anesthesia are both important, but are not the highest priority. The fear of enclosed spaces is not a significant finding for this situation.
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