A charge nurse on a long-term care unit is working with an assistive personnel who states, "I am tired of all the changes on this unit. If things don't improve soon, I'm requesting a transfer." Which of the following responses should the charge nurse make?

A. The client is already on a daily dose of Metoprolol, and there is no indication that the dose should be increased. In fact, it is important to monitor the client's blood pressure and heart rate closely due to the potential side effects of Metoprolol.

B. This is the appropriate action since the client is allergic to penicillin, and the prescription for amoxicillin should be reviewed with the provider.

C. There is no indication from the information provided that the client requires a surgical mask when outside their room.

D. The client has been vomiting and experiencing abdominal cramping, which suggests nausea and discomfort. Requesting a prescription for an antiemetic medication is an appropriate action to address these symptoms.

E. There is no indication from the information provided that the client requires contact precautions. The client has a urinary tract infection and is not exhibiting symptoms consistent with a condition that requires contact precautions.

Rationale:

A. This response is dismissive and may not address the client's concerns about discussing their decision with loved ones.

B. This response is judgmental and may not support the client's autonomy in making healthcare decisions.

C. This response is dismissive and may not address the client's concerns about discussing their decision with loved ones.

D. This response acknowledges the client's decision and supports the client in discussing their decision with loved ones.