A nurse is caring for a client who is taking multiple medications. Which of the following medications should the nurse identify as a controlled substance?

Rationale:

A. Provide the child with electronics to watch movies: While distraction can be helpful in managing anxiety or discomfort, it does not directly address the child’s feelings about hair loss. Emotional support specific to the child’s concern is more appropriate in this situation.

B. Tell the child there's no need to cry because this is expected: Minimizing the child’s feelings invalidates their emotional experience and can increase distress. Acknowledging and supporting the child’s emotions is essential for coping during hair loss caused by radiation therapy.

C. Provide the child with a doll that does not have any hair: Giving a doll without hair helps the child normalize hair loss and provides a concrete way to express and cope with feelings. This action demonstrates understanding, empathy, and age-appropriate support for the child’s emotional needs.

D. Tell the child not to worry about their hair loss because their hair will grow back: While it is true that hair often regrows after treatment, reassurance alone does not address the child’s immediate emotional reaction. Supporting the child’s feelings and providing relatable coping strategies is more effective.

Rationale:

A. A client who has a prescription for compression stockings and did not receive them: Compression stockings are used to prevent deep vein thrombosis and other complications. If the client has not received them, this is a safety concern that requires immediate nursing attention. The AP should report this so the nurse can ensure the prescription is implemented.

B. A client who consumes all the food from their meal tray: Eating the entire meal indicates adequate oral intake and nutrition. While this is positive information, it does not require immediate reporting to the nurse.

C. A client who requests to sit in the bedside chair while watching TV: This is a routine activity of daily living that the AP can assist with as appropriate. It does not indicate a change in condition or a safety concern that must be reported.

D. A client who requests assistance to use the bedside commode: The AP can safely assist with toileting and does not need to report this unless there is a change in the client’s condition or an incident occurs. This is within the scope of AP duties.