A nurse is caring for a client in an outpatient clinic.

Exhibits

Complete the following sentence by using the lists of options. The client is at highest risk for developing

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evidenced by the client's

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A. An advanced practice nurse, such as a nurse practitioner or clinical nurse specialist, has the training to assess medication interactions and adjust prescriptions if necessary. They can evaluate the client's medications, consider potential adverse effects, and collaborate with the prescribing provider. Consulting an advanced practice nurse ensures safe and effective medication management.
B. A psychologist focuses on mental health assessment and therapy but does not prescribe or manage medications. They may help clients cope with medication-related concerns, but they lack the authority to assess or modify prescriptions. Medication-related inquiries should be directed to a medical provider or pharmacist.
C. A social worker assists clients with psychosocial needs, financial concerns, and community resources but does not have the expertise to evaluate medication interactions. They can provide support for medication access or adherence issues but not clinical medication guidance. Medication safety requires consultation with a qualified medical professional.
D. A patient care technician provides basic client care, such as vital sign monitoring and assisting with activities of daily living. They do not have the training to assess medication interactions or provide pharmacological advice. Medication concerns should be referred to a licensed healthcare provider.

Anticipated:

• Administer oxygen at 10 L/min via non-rebreather face mask as needed: The client has late decelerations, indicating possible fetal hypoxia. Providing supplemental oxygen can enhance placental oxygenation and improve fetal status.
• Position the client in lateral side-lying position: This position improves uteroplacental perfusion by relieving compression of the inferior vena cava, which can help resolve late decelerations and improve fetal oxygenation.
• Encourage the client to void every 2 hr: A full bladder can impede fetal descent and contribute to labor discomfort. Regular voiding helps prevent bladder distention and promotes labor progress.
• Administer prophylactic IV antibiotic: The client is positive for Group B streptococcus (GBS), which necessitates prophylactic antibiotic administration during labor to reduce the risk of neonatal infection.
• Evaluate the client for uterine tachysystole: The client's contractions have increased in frequency and intensity. Assessing for excessive uterine activity is critical to prevent fetal distress and complications such as uterine rupture.

Contraindicated:

• Administer magnesium sulfate IV: Magnesium sulfate is used for seizure prophylaxis in preeclampsia or for tocolysis in preterm labor. The client does not have preeclampsia, and labor is at term, making this intervention unnecessary.