A nurse is assessing a client's ECG strip and notes an irregular heart rate of 98/min with no clear P waves. Which of the following cardiac dysrhythmias should the nurse document?

Rationale:
A. "I changed the floor plan of our home to accommodate my parent’s wheelchair.": This statement reflects proactive planning and adjustment to meet the needs of the client’s parents, indicating that the individual has accepted the caregiver role and is taking concrete steps to fulfill it effectively.

B. "I’m so stressed out that it makes it difficult for me to manage everything.": This expresses emotional overwhelm and difficulty coping, suggesting that the client is still struggling with the demands of caregiving and has not yet fully adjusted to or accepted the new role.

C. "At times, I get so frustrated with how to care for my parents.": While frustration is a normal part of caregiving, this statement reflects ongoing emotional conflict, which may suggest partial adaptation but not full acceptance of the caregiving role.

D. "I am learning to take care of my parents as I go.": This shows a willingness to adapt, but it suggests the client is still in the early stages of role transition. Acceptance involves not just learning but also implementing sustainable changes to accommodate the new responsibilities.

Rationale:
A. Administer vasopressin to the client: Vasopressin helps control variceal bleeding by constricting splanchnic blood vessels. However, it cannot be safely or effectively administered until reliable IV access is confirmed, making it a secondary priority.

B. Request blood from blood bank: While the client may need transfusions to correct hypovolemia and blood loss, requesting blood is not the most immediate step. Before transfusion or medication, the nurse must ensure a functional IV line is available.

C. Verify that the client has adequate IV access: The priority in any hemorrhagic shock situation is to secure IV access to allow for fluid resuscitation, medication administration, and blood transfusion. Without IV access, no other interventions can be effectively implemented.

D. Insert an indwelling urinary catheter: Monitoring urine output is important in assessing renal perfusion and fluid status. However, this action does not address the immediate circulatory needs of the client and can be done after resuscitative access is secured.