The nurse is caring for a client with End Stage Renal Disease has a mature Arteriovenous Fistula. Which of the following interventions would the nurse include in the client's plan of care?
Select All that Apply

A. A client admitted with pancreatitis who is requesting pain medication: While pancreatitis causes severe pain, this is not the highest priority. Pain management is important, but it does not indicate an immediate life-threatening issue.

B. A client post a liver biopsy who has tachycardia and is restless: Tachycardia and restlessness following a liver biopsy may indicate internal bleeding due to liver puncture. The liver is highly vascular, and hemorrhage is a serious complication requiring immediate assessment.

C. A client admitted with ulcerative colitis who is requesting an anti-diarrheal: While diarrhea is distressing, this is not life-threatening. The client can be seen after addressing the higher-priority client.

D. A client postop day 1 with dark red drainage the size of a dime on the dressing: Small amounts of dark red drainage are expected postoperatively. This client does not require immediate attention.

A. "You are more likely to get it if living in crowded conditions." Crowded conditions increase the risk of hepatitis A, which spreads via the fecal-oral route, not hepatitis C.

B. "It can be caught while getting a tattoo." Hepatitis C (HCV) is a bloodborne virus transmitted through contaminated needles (tattoos, IV drug use, needle-stick injuries, blood transfusions before 1992).

C. "Poor handwashing of restaurant workers may lead to its transmission." Hepatitis A, not C, is transmitted through contaminated food and poor hygiene. Hepatitis C requires direct blood-to-blood contact.

D. "The disease is passed person to person through casual contact." Hepatitis C is not spread by casual contact, kissing, or sharing food/utensils—it requires blood-to-blood exposure.