A nurse is caring for a client who has a chest tube with a closed drainage system. Which of the following actions should the nurse take?

A. "Would you like to discuss other treatment options with your provider?": This response invites the client to express concerns and explore alternative treatments. It shows respect for their preferences and promotes a collaborative decision-making process.

B. "Regular monitoring is not difficult and will ensure that you remain healthy.": This response downplays the client’s concerns and could be seen as dismissive. It focuses more on the ease of monitoring than addressing the client’s discomfort.

C. "Your provider wants you to take this medication.": Using authority to justify medication may cause the client to feel coerced rather than involved in their treatment. This doesn’t address their concerns and may erode trust.

D. "Why don't you want to undergo monitoring?": Asking why could put the client on the defensive and may make them feel judged. It doesn’t foster open communication or understanding of the client’s concerns.

A. Call the provider to discuss the client's preference with them and their family: While involving the provider and family is important, the first step should be to educate the client about their options for designating a decision-maker.

B. Explain to the client the process of designating another individual to make decisions for them: The nurse should first provide information about how the client can designate a trusted individual to make decisions for them, such as through a durable power of attorney for healthcare. This allows the client to make an informed decision.

C. Ask the client to discuss these preferences with their family first: The nurse should first empower the client by explaining the process of designating a decision-maker. It is crucial to respect the client’s autonomy in making this decision before involving family.

D. Ask the client if they would like their wishes documented in their health care records: Before documenting, the nurse should ensure the client understands the process of assigning a decision-maker. Documentation is important, but the client needs to understand their options first.