The lead nurse is preparing a staffing plan and has determined that the unit requires 34 full-time equivalents (FTEs). How many hours of productive and nonproductive time will the unit be accountable for annually?

A. While expressing feelings is a useful short-term behavior, it reflects only awareness of anxiety, not resolution or effective management. It is a nursing intervention or step toward achieving an outcome rather than an outcome itself.

B. Crying may indicate emotional release, but it does not demonstrate that the client is managing anxiety or using coping strategies. This is an emotional reaction rather than a measurable, positive outcome.

C. Expecting a client to accept impending death immediately after a recent cancer diagnosis is unrealistic and not appropriate as a short-term outcome. Anxiety may persist even as the client begins to adjust to the diagnosis.

D. This is the most appropriate expected outcome. It is measurable and realistic and reflects the client’s ability to manage anxiety related to the threat of death. Effective coping can include relaxation techniques, seeking support, problem-solving, or verbalizing concerns, demonstrating progress in adapting to the stress of the diagnosis.

A. Reviewing the client’s drug allergies is important prior to administering any medication to prevent allergic reactions. However, at this point—after the client is already experiencing symptoms—reviewing allergies does not address the immediate potential for a severe allergic reaction.

B. Documenting findings is essential for accurate record-keeping but does not provide immediate protection or intervention for a potentially life-threatening reaction. Documentation is secondary to ensuring client safety.

C. Auscultating lung sounds for wheezing is the most important action. The client’s report of burning sensations over the abdomen, chest, and groin shortly after SMZ-TMP administration may indicate the early stages of an allergic reaction or anaphylaxis. Wheezing, stridor, or respiratory distress may develop rapidly, and airway compromise is the most life-threatening concern. Immediate assessment of lung sounds allows prompt intervention if respiratory distress occurs.

D. Checking neurological vital signs (level of consciousness, pupil response, orientation) is not the priority in this context. Neurological assessment is important in other clinical scenarios but does not address the immediate risk of anaphylaxis from a drug reaction.