A nurse in dialysis center is caring for a client who has a new diagnosis of end-stage kidney disease. When he arrives for his first dialysis treatment, he tells the nurse, "I decided to come today, but I am not sure if I will need to come back again this week. I am feeling much better since my discharge from the hospital and I think my kidneys are working again." The nurse should identify that this client is demonstrating which of the of the following Kübler-Ross stages of grieving?

A. Secure the restraints to the lowest bar of the side rail: Restraints should never be tied to the side rails, as this can cause injury if the client attempts to move. They should be secured to a stable part of the bed frame that moves with the client, ensuring safety and preventing harm.

B. Secure the restraints using a quick-release tie: Quick-release knots allow the nurse to remove restraints rapidly in an emergency, such as sudden respiratory distress or circulatory compromise. This method balances safety with the ability to intervene immediately if needed.

C. Anticipate removing the restraints every 4 hr.: Restraints should be removed or assessed more frequently, typically every 2 hours for adults, to check circulation, skin integrity, and range of motion. Waiting 4 hours can increase the risk of injury or skin breakdown.

D. Ensure four fingers fit under the restraints to prevent constriction: Only enough space for two fingers should be placed between the restraint and the client’s skin. Four fingers would make the restraint too loose, increasing the risk of slipping and reducing effectiveness in preventing harm.

A. "I will take the medicine every morning on an empty stomach.": Nystatin suspension is not dependent on an empty stomach for effectiveness. The key is to ensure contact with oral mucosa by swishing before swallowing, not timing it with meals.

B. "I will only need to take this medication for a few days.": Treatment with nystatin usually lasts at least 7 to 14 days, and it must be continued for the full prescribed course even if symptoms improve early to prevent recurrence.

C. "I will spit the medication out after swishing it around my mouth.": The medication should be swished thoroughly in the mouth and then swallowed, allowing it to treat both oral and pharyngeal yeast infections. Spitting it out reduces its therapeutic effect.

D. "I will store the medication at room temperature.": Nystatin oral suspension should be stored at room temperature away from direct light and freezing. This preserves its stability and effectiveness, making this the correct statement.