A nurse is preparing to administer a medication to a client and discovers that the incorrect dose of medication was administered during the previous shift. Which of the following actions should the nurse take first?

A. A dietitian is typically involved in addressing nutritional needs and dietary concerns. While nutrition is important for overall health, it may not directly address the client's difficulty with fine motor skills.

B. A physical therapist is more focused on addressing gross motor skills, mobility, and physical function. While physical therapy may be beneficial for individuals with rheumatoid arthritis, it may not specifically address fine motor skill difficulties.

C. A pharmacist is responsible for managing medications and providing information about medications. While medication management is crucial for clients with rheumatoid arthritis, a pharmacist is not the primary referral for addressing fine motor skills.

D. Occupational therapist is the most appropriate referral for a client with difficulty in fine motor skills. Occupational therapists specialize in helping individuals develop or regain the skills needed for daily living activities, including fine motor skills. They can provide strategies, exercises, and adaptive techniques to improve the client's ability to perform activities such as dressing, grooming, and other tasks requiring fine motor coordination.

A. "Maybe you should wait to have the procedure."

This response may come across as directive and could potentially influence the client's decision. It does not encourage the client to express their feelings or concerns but suggests a specific course of action.

B. "This is a common feeling for clients to have before the procedure."

While it's true that many clients may experience conflicted feelings before undergoing certain procedures, this response is somewhat dismissive. It does not invite the client to explore their specific concerns and may not address the individual nature of the client's feelings.

C. Share more with me about your concerns related to the procedure.

This response encourages the client to express their concerns and provides an opportunity for the nurse to understand the specific issues causing the conflict. It demonstrates empathy and openness, fostering a therapeutic nurse-client relationship. By inviting the client to share more, the nurse can gain insight into the client's emotional and psychological concerns about the tubal ligation.

D. "Why are you concerned about the procedure?"

While this question is an attempt to understand the client's concerns, it may be perceived as too direct or confrontational. The wording might make the client feel defensive or pressured to justify their feelings. The more open-ended phrasing in option C is generally more conducive to therapeutic communication.