A nurse is caring for a client who is at 14 weeks of gestation. Which of the following statements should the nurse identify as the client being emotionally prepared for pregnancy?

A. Place a pulse oximeter on the client's finger. While assessing oxygen saturation is important, it is not the priority in this situation. The client is cyanotic with a respiratory rate of 8/min and shallow respirations, indicating severe respiratory compromise. Immediate intervention is needed before assessing oxygen saturation.
B. Administer oxygen to the client. Providing oxygen is appropriate, but it will not be effective if the client's airway is obstructed or if their respirations are inadequate. Oxygen delivery is only useful when there is a patent airway and effective ventilation.
C. Check the client's pulse rate. Assessing circulation is important, but the priority in this situation is ensuring an open airway to allow for adequate oxygenation. The client's respiratory status suggests that they may not be effectively exchanging oxygen, which must be addressed immediately.
D. Establish a patent airway for the client. The priority action is to ensure a patent airway, as compromised respirations can lead to respiratory failure and cardiac arrest. Airway management, such as repositioning the head, using airway adjuncts, or preparing for assisted ventilation, takes precedence over other interventions to ensure oxygen delivery.

A. "Your health care surrogate will make decisions on your behalf if you are unable." A health care surrogate, also known as a durable power of attorney for health care, is a person designated to make medical decisions when the client is unable to do so. This ensures that the client’s wishes are respected in situations where they cannot communicate or make informed choices.
B. "Once you have completed a living will, it cannot be changed." A living will can be revised or revoked at any time as long as the client is mentally competent. Changes may be necessary due to evolving personal beliefs, medical advancements, or changes in health status.
C. "You should appoint a family member as your health care surrogate." While a family member can be chosen, it is not a requirement. The client has the right to appoint anyone they trust to make medical decisions, including a close friend or legal representative, as long as they meet the legal criteria in their state or country.
D. "You will need an attorney to appoint a health care surrogate." An attorney is not required to appoint a health care surrogate. Most states provide standardized forms that can be completed and signed by the client in the presence of witnesses or a notary, depending on local legal requirements.