A nurse is caring for a client in the medical-surgical unit.

Which of the following actions should the nurse take to decrease the risks for urinary tract infection for this client? Select all that apply.

A. "I feel emotionally numb and no longer leave the house.": This statement reflects complicated or prolonged grief, characterized by social withdrawal, emotional numbness, and difficulty functioning. It may indicate the need for additional support or referral to mental health services rather than a typical grief response.

B. "I think a part of me died with them. I feel empty inside.": While feelings of emptiness are common in grief, expressing a sense of self-loss that is pervasive and debilitating can suggest a more complicated grief process. It requires careful assessment and monitoring rather than being considered a fully appropriate grief response.

C. "I lost trust in health care professionals since they died.": This statement indicates anger, mistrust, or possible blame associated with grief. While emotional reactions vary, a persistent sense of mistrust can interfere with adaptive coping and may require guidance and support to process feelings constructively.

D. "I am sad but recognize that this was a blessing for them.": This statement demonstrates an adaptive grief response, acknowledging sadness while also finding meaning or acceptance in the situation. It reflects the ability to process loss realistically, maintain perspective, and integrate the experience into ongoing life.

A. Instill normal saline drops to nares before meals: Saline drops are used to loosen nasal secretions in conditions like the common cold or bronchiolitis. They do not address epiglottitis and are not a primary intervention for this life-threatening airway condition.

B. Perform chest percussion and postural drainage twice per day: Chest physiotherapy is indicated for conditions with increased pulmonary secretions, such as cystic fibrosis or pneumonia. Epiglottitis primarily affects the upper airway, so these interventions are not appropriate.

C. Initiate droplet precautions: Epiglottitis is often caused by Haemophilus influenzae type b and can be transmitted via respiratory droplets. Implementing droplet precautions protects healthcare workers and other clients from infection while the child receives care.

D. Administer pancreatic enzymes with meals: Pancreatic enzyme replacement is used in conditions like cystic fibrosis to aid digestion. It is unrelated to epiglottitis and does not address the acute respiratory risk posed by airway inflammation.