The nurse has four clients who are scheduled to see the physician for "fatigue" and other general symptom complaints. Which client does the nurse determine is at most risk for having chronic fatigue syndrome?

A. Allows the nurse to express their feelings: While nurses may also experience emotional responses, the primary focus in client care is on supporting the client’s grief. Personal expression should not take precedence in the therapeutic relationship.
B. Allows for the nurse to facilitate the grieving process: Understanding the stages and individual nature of grief enables the nurse to provide empathetic, nonjudgmental support. This helps the client process emotions in a healthy way and move through grief at their own pace.
C. Allows for the nurse to take the client through in the appropriate order: Grief is not a linear process. Clients may move back and forth between stages or skip some entirely. The nurse's role is to support, not control or direct the sequence of emotions.
D. Allows for the nurse to understand when the grieving process should be concluded: Grief does not follow a fixed timeline. Expecting it to end by a specific point is unrealistic and may create pressure or invalidate the client’s experience. Compassionate care requires flexibility and patience.

A. Monitor heart rhythm: While cardiac monitoring is important, it doesn’t directly assess airway status or ventilation. Respiratory compromise must be identified through airway-focused assessments.
B. Auscultate lung sounds: Hourly lung auscultation helps detect early signs of airway obstruction, stridor, or atelectasis. It’s the most direct way to monitor for post-extubation respiratory issues.
C. Assess capillary refill: Capillary refill assesses peripheral perfusion but gives little information about airway patency or breathing effectiveness after extubation.
D. Obtain vital signs: Vital signs are useful but may not change until respiratory compromise becomes severe. Lung assessment provides earlier clues of deterioration.