A nurse is caring for a client who has a history of chronic obstructive pulmonary disease (COPD) and is receiving oxygen therapy at home. The nurse should instruct the client to report which of the following findings as an indication of oxygen toxicity?

Choice A reason: Administering alprazolam 0.5 mg PO is not the first action that the nurse should take. Alprazolam is a benzodiazepine that can be used to treat anxiety or insomnia, but it is not a priority intervention for a mother who has experienced a stillbirth. The nurse should assess the mother's emotional and physical needs before giving any medication.

Choice B reason: Contacting the health care facility's clergy is not the first action that the nurse should take. The nurse should respect the mother's spiritual and cultural beliefs and preferences, but not assume that she wants or needs the clergy's presence. The nurse should ask the mother if she would like to have any spiritual support or counseling.

Choice C reason: Offering the mother private time with the newborn is the first action that the nurse should take. This is a sensitive and compassionate way to acknowledge the mother's loss and grief, and to facilitate bonding and closure. The nurse should provide the mother with a quiet and comfortable environment, and allow her to hold, touch, and talk to the newborn as long as she wishes.

Choice D reason: Assisting the client with transferring to the gynecology unit is not the first action that the nurse should take. The nurse should not rush the mother to leave the labor and delivery unit, as this may increase her sense of isolation and abandonment. The nurse should allow the mother to stay in the same room until she is ready to move, and provide her with emotional and physical support during the transition.

Choice A reason: Weight loss is not a typical finding in a toddler who has heart failure. Weight gain due to fluid retention is more likely to occur. The nurse should monitor the toddler's weight and fluid intake and output regularly.

Choice B reason: Bradycardia is not a typical finding in a toddler who has heart failure. Tachycardia due to increased cardiac workload is more likely to occur. The nurse should monitor the toddler's heart rate and rhythm frequently.

Choice C reason: Increased urine output is not a typical finding in a toddler who has heart failure. Decreased urine output due to poor renal perfusion is more likely to occur. The nurse should monitor the toddler's urine specific gravity and electrolytes periodically.

Choice D reason: Orthopnea is a typical finding in a toddler who has heart failure. Orthopnea is the difficulty of breathing when lying flat. The nurse should elevate the toddler's head and chest to facilitate breathing and oxygenation.