A nurse is caring for client who is receiving a continuous IV infusion . The nurse notes the skin around the catheter's insertion site is edematous and cool. Which of the following actions is should the nurse take First?

A) "My husband won't need medication for breakthrough pain while using music therapy."
This statement is incorrect. While music therapy can help reduce pain perception and provide comfort, it is not a replacement for medications, especially for breakthrough pain. Breakthrough pain may still occur, and medications are often needed to manage it. Music therapy can complement the use of pain medications, but it does not eliminate the need for them.

B) "Playing music will increase my husband's alertness."
This statement is not accurate. Music therapy may enhance relaxation, reduce anxiety, and help manage pain, but it is not generally used to increase alertness in terminally ill patients. In fact, some music therapy techniques may be calming and soothing, which could encourage rest rather than increasing alertness.

C) "I will discontinue music therapy when my husband is no longer responsive."
This statement is incorrect. Music therapy can still be beneficial even if the client becomes less responsive. In hospice care, music therapy is often used to provide comfort, promote relaxation, and offer emotional support, even for clients who are less alert or responsive. Discontinuing therapy may deprive the client of a source of comfort.

D) "Music will distract my husband's awareness of the pain."
This statement is correct. Music therapy can serve as a distraction and help reduce the client's perception of pain by focusing their attention away from discomfort. It can promote relaxation, reduce anxiety, and alter the client's awareness of their pain, making it an effective complementary treatment for pain management in hospice care.

A) Open the fireplace dampers in the day room:
Opening the fireplace dampers in the event of an external chemical disaster would not be appropriate. In fact, this could allow toxic air or chemicals to enter the facility. It is important to seal off ventilation points that might allow the chemicals to enter, such as windows, doors, and any other openings, rather than opening the dampers.

B) Move clients to a room above ground with few windows:
In the event of an external chemical disaster, moving clients to a room above ground with few windows is a key safety measure. Rooms that are above ground level tend to be safer in such situations because chemicals may settle at ground level, increasing exposure risks to those below ground. A room with few windows is also important because it minimizes potential entry points for toxic substances from outside. The focus is on containing the air supply and limiting exposure to harmful agents.

C) Turn on fans in the facility to circulate air:
Turning on fans in the facility during a chemical disaster could worsen the situation by spreading toxic air or chemicals throughout the building. Fans are generally used to circulate air, but in this context, they would not be helpful and could potentially increase exposure to harmful substances. Instead, the focus should be on reducing airflow from the outside and sealing off the building.

D) Cover the electrical outlets with wet towels:
Covering electrical outlets with wet towels is not an effective response to an external chemical disaster. While wet towels can be useful in some scenarios for filtering or protecting from certain substances, in a chemical disaster, the priority is to ensure proper ventilation control and to protect from airborne chemicals by sealing the room. Electrical outlets should be covered for safety only when there is a risk of electrical hazards, but not necessarily in the case of a chemical disaster unless there is specific concern about sparks or fire.