A client who is at full-term gestation is in active labor and complains of a cramp in her leg.

Which intervention should the practical nurse (PN) implement?

The correct answer is Choice D. What are the voices uttering?

Choice A rationale:

While it is essential to assess how the client copes with auditory hallucinations, asking this question alone does not provide specific information about the content of the hallucinations. Knowing what the voices are saying is vital in understanding the nature and potential impact of the hallucinations.

Choice B rationale:

Knowing when the voices are most disturbing can provide some insights into the pattern of the auditory hallucinations. However, this information alone may not fully address the client's current experience or their response to the hallucinations.

Choice C rationale:

Inquiring about which medication works best is important, but it should come after understanding the nature of the hallucinations. Medication management is a crucial aspect of treating schizophrenia, but gathering information about the content of the hallucinations helps in formulating an appropriate treatment plan.

Choice D rationale:

The correct choice. Knowing what the voices are uttering is essential in assessing the severity and potential impact of the auditory hallucinations on the client's well-being. This information will guide the healthcare team in providing targeted interventions and support to manage the symptoms effectively.

The correct answer is choicea. Teach the client to use a straw when taking the medication to reduce further tooth staining.

Choice A rationale:

Using a straw when taking liquid iron preparations helps minimize contact with the teeth, thereby reducing the risk of staining.

Choice B rationale:

While tooth discoloration can indicate that the iron is being absorbed, it is not a desired effect and should be managed to prevent cosmetic concerns.

Choice C rationale:

Assessing for mouth or gum pain and difficulty swallowing is important but not directly related to the issue of tooth staining.

Choice D rationale:

Advising the client to withhold doses without consulting a healthcare provider could lead to non-compliance and inadequate treatment of iron deficiency.