The nurse is assisting with a lumbar puncture on a client. During the procedure, a code is called for another client on the unit who is experiencing respiratory arrest. Which action should the nurse take?

Choice A reason: Discussing why visitors should not lie in the bed with the client is not the best action for the nurse to implement. The nurse should not waste time explaining the rationale to the visitor, as this may cause conflict or resentment. The nurse should focus on the immediate safety and comfort of the client and the visitor.

Choice B reason: Notifying the charge nurse that the visitor is lying on the client's bed is not the best action for the nurse to implement. The nurse should not escalate the situation to the charge nurse, as this may imply that the nurse is unable to handle the problem. The nurse should use his or her own authority and judgment to resolve the issue.

Choice C reason: Explaining that the client has the right to have a visitor lie on the bed is not the best action for the nurse to implement. The nurse should not condone or encourage the visitor's behavior, as this may compromise the client's health and hygiene. The nurse should respect the client's wishes, but also uphold the standards of care and infection control.

Choice D reason: Instructing the UAP to ask the visitor to get off the client's bed is the best action for the nurse to implement. The nurse should delegate the task to the UAP, who has already established rapport with the visitor and the client. The nurse should also monitor the situation and ensure that the UAP is polite and respectful to the visitor and the client.

Choice A reason: A child who has had a cold for two days and now is coughing up green sputum is not the most urgent client to assess. The child may have a bacterial infection that requires antibiotics, but the condition is not life-threatening or unstable. The child can be classified as urgent and seen within one hour.

Choice B reason: A male adolescent who has been vomiting for the past 12 hours and describes himself as very weak is not the most urgent client to assess. The adolescent may have dehydration, electrolyte imbalance, or gastroenteritis that requires fluid replacement and antiemetics, but the condition is not life-threatening or unstable. The adolescent can be classified as urgent and seen within one hour.

Choice C reason: A female client with severe right lower abdominal pain who is febrile and vomiting is the most urgent client to assess. The client may have appendicitis, ovarian torsion, ectopic pregnancy, or another serious condition that requires immediate diagnosis and treatment. The client is at risk of perforation, infection, shock, or hemorrhage and needs to be seen as soon as possible. The client can be classified as emergent and seen within 15 minutes.

Choice D reason: An elderly client with peripheral vascular disease who is complaining of severe leg pain when ambulating is not the most urgent client to assess. The client may have intermittent claudication, ischemia, or ulceration that requires analgesics, antiplatelets, or vascular surgery, but the condition is not life-threatening or unstable. The client can be classified as semi-urgent and seen within two hours.