A client who weighs 110 lb receives a prescription for dalteparin 150 units/kg SUBQ daily for 4 months. The medication is available in 7,500 units/0.3 mL prefilled syringe. How many mL should the nurse administer? (Enter numerical value only.)

Rationale:

A. "Are you the type of person who shares your problems easily?": This question explores communication style but may feel invasive or irrelevant to someone in acute distress. It does not directly address the client’s current emotional needs or offer support.

B. "What do you think is your primary goal to achieve this time?": Goal setting is important during the planning phase of care, but clients in overwhelming anxiety may not be ready for structured thinking. This question may increase pressure and exacerbate anxiety.

C. "Would you like me to sit with you for a while?": This offers immediate emotional support and conveys presence, which helps build trust and reduce anxiety. It is a therapeutic approach that meets the client’s most urgent need for calm and reassurance.

D. "Have you experienced changes in your life recently?": Life changes may contribute to anxiety, but exploring them is appropriate after the client feels emotionally safe and stable. The initial priority is to establish a calming presence, not to probe background stressors.

Rationale:
A. Paresthesia of fingers due to carpal tunnel syndrome: Carpal tunnel symptoms typically progress slowly and are not life-threatening. While uncomfortable, they do not require urgent intervention unless accompanied by signs of severe nerve damage.

B. Burning pain due to a Morton’s neuroma: Morton’s neuroma causes localized nerve pain in the foot and may impair mobility, but it is not considered an emergency. It usually responds to conservative treatment and is not limb-threatening.

C. Sharp pain related to a crushed femur: A crushed femur can result in severe bleeding, compartment syndrome, or fat embolism—each of which can be life-threatening. Immediate assessment and intervention are critical to prevent complications like shock or loss of limb function.

D. Stinging pain related to plantar fasciitis: Plantar fasciitis causes chronic heel pain, especially with movement, but it is not emergent. It requires treatment for pain relief and inflammation but does not pose an immediate risk to life or limb.