A nurse in a mental health facility is caring for a client whose adult child states, "I feel guilty about admitting them to the facility." Which of the following responses should the nurse make?

Choice A reason: Wearing gloves when washing dishes is the correct answer because peripheral neuropathy causes decreased sensation in the hands, increasing the risk of burns or injury from hot water or sharp objects. Gloves provide protection and reduce exposure to extreme temperatures, thereby preventing injury.

Choice B reason: Loose-fitting shoes can increase the risk of falls and foot injuries because they do not provide adequate support or protection. Clients with neuropathy require well-fitting shoes to prevent trauma and pressure injuries.

Choice C reason: Inspecting feet weekly is insufficient. Clients with neuropathy should inspect their feet daily due to the high risk of unnoticed injuries, infections, or ulcers. Weekly inspection delays detection and treatment of complications.

Choice D reason: Eating foods low in fiber is inappropriate. Fiber is important for maintaining gastrointestinal health, especially since chemotherapy can cause constipation. A low-fiber diet would worsen bowel issues rather than help neuropathy.

Choice A reason: The prescription "Atropine .4 mg IV stat" is incorrect because it uses a leading decimal without a zero before the decimal point. This can lead to medication errors, as ".4 mg" could be misread as "4 mg." Correct documentation should be "Atropine 0.4 mg IV stat." Therefore, this option is unsafe and incorrect.

Choice B reason: The prescription "Lorazapam 1.0 mg IV PRN every 6 hr" is incorrect because it uses a trailing zero after the decimal point. Trailing zeros increase the risk of misinterpretation (e.g., "1.0 mg" could be misread as "10 mg"). Correct documentation should be "Lorazepam 1 mg IV PRN every 6 hr." This option is incorrect due to unsafe formatting.

Choice C reason: The prescription "Sucralfate 1 g PO 1 hr ac" is correct. It specifies the medication, dose, route, and timing clearly. "PO" indicates oral administration, and "1 hr ac" means one hour before meals, which is the appropriate timing for sucralfate to coat the stomach lining. This option is the correct answer because it follows proper documentation standards.

Choice D reason: The prescription "Enoxaparin 30 mg SC every 12 hr" is incorrect because the abbreviation "SC" for subcutaneous is discouraged. The preferred abbreviation is "subcut" or "subcutaneous" to avoid confusion with "SL" (sublingual). Therefore, this option is not considered correct documentation.