A nurse is preparing to administer 2 medications via client's NG tube. Which of the following actions should the nurse take?

A) I’d like to hear your thoughts about giving yourself this medication:
This response encourages open communication and allows the client to express their concerns or fears. It shows empathy and provides an opportunity for the nurse to understand the reasons behind the refusal, which can help tailor the teaching approach. This is an effective way to build trust and involve the client in their care plan.

B) Have you considered how your decision to refuse medication will affect your family?
While this statement highlights the consequences of the client’s actions, it can feel judgmental or guilt-inducing, which may cause the client to become defensive. The nurse should aim to engage the client in a non-judgmental and supportive way rather than focusing on external consequences at this stage.

C) Why don’t you want to learn how to give yourself your medication?
This question could come across as confrontational and may make the client feel pressured or defensive. Instead of focusing directly on the refusal, the nurse should try to understand the client's perspective and barriers, which can be better achieved with a more open and empathetic approach like option A.

D) You will suffer serious health issues if you don’t take your medication:
This response may evoke fear and could be perceived as coercive. It focuses on the negative consequences without first understanding the client’s feelings or reasons for refusing. While the nurse should eventually address the importance of insulin, it’s more effective to first create an open dialogue that respects the client’s autonomy and concerns.

A) Position the client on their left side.
This is the most appropriate action. The client's symptoms (dizziness, racing heart, and paleness) are consistent with supine hypotensive syndrome, which occurs when the pregnant uterus compresses the inferior vena cava while lying on the back, reducing venous return to the heart. Positioning the client on their left side relieves the pressure on the vena cava, restores normal blood flow, and alleviates these symptoms. This is a common intervention during pregnancy to prevent such complications.

B) Check the client's temperature.
While checking the client’s temperature may be necessary if an infection is suspected, the symptoms described are more indicative of supine hypotensive syndrome rather than an infection. Therefore, checking the temperature is not the priority action in this scenario.

C) Instruct the client to take a brisk walk.
Encouraging the client to take a brisk walk is not an appropriate response to the symptoms described. In fact, moving or exerting oneself might worsen dizziness or lead to further complications. The priority is to relieve the pressure on the vena cava by changing the client's position, not by physical activity.

D) Provide the client with a glass of orange juice.
Although providing orange juice might help if the client is experiencing hypoglycemia, there is no indication from the symptoms described that the client has low blood sugar. The client's symptoms are more likely due to positional changes that affect circulation during pregnancy, and the best immediate action is to change the client's position rather than offering food or drink.