A nurse in an emergency department is caring for a 78-year-old female client.

Drag words from the choices below to fill in each blank in the following sentence. The client is at greatest risk for developing

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A. Weight gain of 1.6 kg (3 lb 8 oz) in one month: A weight gain of about 1–2 kg per month during the second and third trimesters is generally considered normal. This finding reflects appropriate maternal and fetal growth and does not indicate a complication.

B. Fundal height of 32 cm: At 30 weeks gestation, a fundal height between 28–32 cm is within normal limits, correlating approximately with gestational age in weeks. Minor variations can occur due to fetal position or maternal body habitus and are not automatically indicative of a complication.

C. Client report of leg cramps while sleeping: Leg cramps are a common musculoskeletal complaint during the third trimester, often due to changes in circulation, pressure from the uterus, and altered electrolyte balance. While uncomfortable, they are generally benign and not a sign of prenatal pathology.

D. Presence of clonus: Clonus—rapid, rhythmic involuntary contractions of the muscles, usually assessed at the ankle—is a neurological sign associated with hyperreflexia. In a pregnant client, the presence of clonus may indicate preeclampsia, a potentially serious prenatal complication involving hypertension and risk for seizures, requiring immediate evaluation and monitoring.

A. Ignore disruptive behaviors: Ignoring disruptive or inappropriate behaviors can contribute to a toxic work environment and increase emotional stress among staff. Addressing such behaviors through appropriate channels supports psychological safety and reduces the cumulative stress that contributes to compassion fatigue.

B. Publicly confront coworkers when conflict arises: Public confrontation can escalate conflict, damage professional relationships, and increase workplace stress. Effective conflict resolution requires respectful, private communication and the use of structured approaches, which helps maintain a supportive environment and reduces emotional exhaustion.

C. Encourage a passive communication style: Passive communication often leads to unexpressed concerns, unmet needs, and internalized stress, all of which contribute to burnout and compassion fatigue. Assertive communication is recommended instead, as it promotes clarity, mutual respect, and emotional well-being among healthcare staff.

D. Focus on self-care: Self-care is a cornerstone in preventing and managing compassion fatigue. Strategies such as adequate rest, stress management, emotional support, and maintaining work-life balance help nurses cope with repeated exposure to patient suffering. Prioritizing self-care enhances resilience, reduces burnout, and supports long-term professional functioning.