A nurse is teaching a client who has generalized anxiety disorder about ways to help manage stress. Which of the following instructions should the nurse give the client about using progressive relaxation?

A. A child who has acute epiglottitis and is drooling: Acute epiglottitis is a medical emergency that can rapidly progress to airway obstruction and respiratory distress. Drooling is a significant sign of airway compromise in children with epiglottitis due to swelling of the epiglottis. This child requires immediate assessment and intervention to ensure airway patency.
B. A child who has mononucleosis and reports severe fatigue: While mononucleosis can cause severe fatigue, it is not an immediate life-threatening condition compared to acute epiglottitis. Assessment and intervention for severe fatigue can be prioritized after addressing the child with potential airway compromise.
C. A child who has Wilms' tumor and an abdominal mass: Wilms' tumor is a type of kidney cancer that typically presents with an abdominal mass. While it requires timely medical intervention, it is not as urgent as acute epiglottitis, which poses a risk of airway obstruction.
D. A child who has a urinary tract infection and bright red blood in their urine: While a urinary tract infection with hematuria requires assessment and treatment, it is not immediately life-threatening compared to acute epiglottitis. Addressing the child with potential airway compromise takes precedence over evaluating and managing hematuria.

A. Attach a dosimeter to the client's gown: A dosimeter measures the radiation dose received by the wearer over a period of time. While healthcare providers and personnel working closely with the client during brachytherapy may wear dosimeters, attaching one to the client's gown is not a standard practice.
B. Strain the client's urine: Straining the client's urine is not directly related to the care required for a client undergoing brachytherapy. The primary focus of care during brachytherapy is to minimize radiation exposure to others and promote the client's comfort and safety.
C. Limit each of the client's visitors to 2 hr per day: While it may be appropriate to limit the duration of visits to reduce the potential radiation exposure of visitors, the specific time limit of 2 hours per day is not standard and should be determined based on individual circumstances and institutional policies.
D. Instruct visitors to stay 1 m (3.3 feet) away from the client: This intervention is appropriate because it helps minimize radiation exposure to visitors. Maintaining distance from the client reduces the risk of radiation exposure to others while still allowing for social interaction and support during the client's treatment.