The nurse is reviewing the client's medical record.

Exhibits

The nurse is assisting with the care of the client prior to a blood transfusion. Which of the following actions should the nurse take? Select all that apply.

A. An advanced practice nurse, such as a nurse practitioner or clinical nurse specialist, has the training to assess medication interactions and adjust prescriptions if necessary. They can evaluate the client's medications, consider potential adverse effects, and collaborate with the prescribing provider. Consulting an advanced practice nurse ensures safe and effective medication management.
B. A psychologist focuses on mental health assessment and therapy but does not prescribe or manage medications. They may help clients cope with medication-related concerns, but they lack the authority to assess or modify prescriptions. Medication-related inquiries should be directed to a medical provider or pharmacist.
C. A social worker assists clients with psychosocial needs, financial concerns, and community resources but does not have the expertise to evaluate medication interactions. They can provide support for medication access or adherence issues but not clinical medication guidance. Medication safety requires consultation with a qualified medical professional.
D. A patient care technician provides basic client care, such as vital sign monitoring and assisting with activities of daily living. They do not have the training to assess medication interactions or provide pharmacological advice. Medication concerns should be referred to a licensed healthcare provider.

A. "Can you tell me about the stresses in your life?" Identifying stressors is important for understanding the client’s situation, but it does not directly assess the immediate risk of suicide, which takes priority.
B. "Has anyone in your family ever died by suicide?" A family history of suicide can be a risk factor, but assessing the client’s current intent and plan is more urgent for determining immediate safety.
C. "Do you have someone to discuss your feelings with?" A support system is important, but it does not address the immediate risk of self-harm. If the client has a plan, immediate intervention is needed regardless of their support system.
D. "Do you have a plan for harming yourself?" Asking about a specific plan is the priority because it helps determine the level of risk and urgency of intervention. A detailed plan suggests a higher risk of acting on suicidal thoughts, requiring immediate safety measures.