A nurse is teaching a client who is perimenopausal and has recurrent lower back pain. Which of the following client statements indicates an understanding of the teaching?

Choice A reason: Asking the client why they think they might have cancer when their diagnosis is benign can come across as dismissive and may not address the client’s underlying anxiety. It is important for the nurse to acknowledge the client’s feelings and provide support rather than questioning their concerns.

Choice B reason: Telling the client that there is no reason to worry based on their chart can be seen as dismissive of their feelings. While it may be factually correct, it does not address the client’s emotional state or provide the support they need.

Choice C reason: This response acknowledges the client’s concern and opens the door for further discussion. It shows empathy and understanding, which can help the client feel heard and supported. This approach aligns with therapeutic communication techniques that encourage clients to express their feelings and concerns.

Choice D reason: Suggesting that the client discuss their concerns with their provider is not incorrect, but it may not provide the immediate emotional support the client needs. While it is important for the client to have a detailed discussion with their provider, the nurse should first acknowledge and address the client’s immediate concerns.

Step 1: Convert the client’s weight from pounds to kilograms. 198 lb ÷ 2.2 = 90 kg

Result: 90 kg

Step 2: Calculate the total daily dose of vancomycin. 15 mg × 90 kg = 1350 mg/day

Result: 1350 mg/day

Step 3: Divide the total daily dose by 2 to get the dose per administration (since it is given every 12 hours). 1350 mg/day ÷ 2 = 675 mg

Result: 675 mg

Final Answer: The nurse should administer 675 mg of vancomycin with each dose.