A nurse is caring for a client who is 2 hr postoperative. Which of the following findings should the nurse report to the provider?

Rationale:
A. Perform range-of-motion exercises once per shift: While ROM exercises help maintain joint mobility, they are not a priority in the acute management of bacterial meningitis. The immediate focus is on preventing complications such as seizures and managing neurological status.

B. Place the client in high-Fowler's position: Although elevated head positioning can reduce intracranial pressure slightly, there is no strict requirement for high-Fowler’s positioning in bacterial meningitis. Comfort and safety are more important, with frequent neurological monitoring.

C. Implement seizure precautions: Bacterial meningitis increases the risk of seizures due to inflammation and increased intracranial pressure. Implementing seizure precautions—such as padding side rails, having suction available, and ensuring rapid access to emergency equipment—is a key safety measure.

D. Monitor the client for hypoglycemia: Hypoglycemia is not typically a complication of bacterial meningitis. Instead, monitoring focuses on neurological status, vital signs, fluid balance, and signs of increased intracranial pressure.

Rationale:
A. "You sound like you have questions about your mom dying. Let's talk about it.": This response acknowledges the daughter’s emotional struggle and invites open dialogue. It encourages expression of thoughts and feelings, which supports coping and helps build trust.

B. "Tell me how you are feeling about your mom dying.": This therapeutic response promotes emotional expression and validates the daughter’s experience. It allows the nurse to assess the daughter’s understanding, provide reassurance, and offer emotional support.

C. "Hospice will take good care of your mom, so I wouldn't worry about that.": This response minimizes the daughter’s emotions and shuts down communication. It focuses on reassurance rather than addressing the underlying fear or uncertainty the daughter feels about her mother’s death.

D. "Let's talk about your mom's cancer and how things will progress from here.": Providing honest and compassionate information about disease progression helps the daughter prepare emotionally and practically. It also fosters understanding and reduces anxiety about the unknown aspects of dying.

E. "Tell her not to worry. She still has plenty of time left.": Offering false reassurance denies the reality of the situation and prevents the daughter from processing anticipatory grief. Such a response discourages open, honest communication between the client and family.