Which instruction should a nurse include in the teaching plan for a client receiving non-steroidal anti-inflammatory drugs (NSAIDS) for the treatment of rheumatoid arthritis?

A weak, rapid pulse indicates that the client is experiencing hypovolemia or low blood volume due to blood loss during surgery.

The nurse should recommend to the provider to administer intravenous fluids to restore the client’s circulating volume and improve their hemodynamic status.

Choice A is wrong because anticholinergics are drugs that block the action of acetylcholine, a neurotransmitter that stimulates the parasympathetic nervous system.

Anticholinergics can cause tachycardia, dry mouth, urinary retention, and blurred vision. They are not indicated for hypovolemia.

Choice B is wrong because urinary catheter placement is not a priority intervention for a client with hypovolemia.

Urinary catheterization can help monitor urine output and renal perfusion but does not address the underlying cause of low blood volume.

Choice C is wrong because beta blockers are drugs that block the action of epinephrine and norepinephrine, neurotransmitters that stimulate the sympathetic nervous system.

Beta-blockers can lower blood pressure, heart rate, and cardiac output.

They are not indicated for hypovolemia and can worsen the client’s condition.

To communicate this information using the SBAR tool, the nurse should follow these steps: Situation: Identify yourself, the client, and the problem.

For example: “I am (name), the nurse caring for (client name) in room (number).

I am calling because I am concerned that the client has developed hypovolemia after surgery.”

Background: Provide relevant and brief information related to the situation.

For example: “The client had a surgical procedure (name and type) at (time) today. They have lost (amount) of blood during and after surgery.

Their current vital signs are: blood pressure (value), pulse (value), respiratory rate (value), temperature (value), oxygen saturation (value).”

Assessment: Share your analysis and considerations of options. For

This is the most therapeutic response because it shows respect for the client’s autonomy and allows the nurse to explore the client’s concerns and feelings about the medication.

It also helps to establish trust and rapport with the client. Choice B. Report refusal to the charge nurse.

This is wrong because it does not address the client’s immediate needs and may make the client feel ignored or dismissed.

Choice C. Explain the purpose of the medication.

This is wrong because it may sound like lecturing or persuading the client, which can increase resistance and hostility.

Choice D. Encourage the client to take the medication.

This is wrong because it does not acknowledge the client’s right to refuse treatment and may imply that the nurse knows better than the client what is best for them.