When showering a patient, which of the following actions should the nurse take to ensure patient safety?

A. This statement incorporates an inquiry into the client's emotional and psychological state, recognizing that stress may contribute to headache frequency. It reflects a holistic approach by considering factors beyond the physical symptoms, acknowledging the interplay between mental health and physical well- being.
B. This question focuses specifically on the physical symptoms of the headaches. While it’s important to understand the client’s symptoms, this statement does not consider emotional or psychosocial factors, making it less holistic.
C. Checking blood pressure is a vital assessment related to potential physiological causes of headaches. However, this action is primarily focused on physical health and does not encompass a holistic view of the client’s overall experience or emotional state.
D. This question addresses treatment and management of headaches, focusing on the effectiveness of medication. While important, it does not explore other contributing factors such as lifestyle, emotional health, or stress, and therefore lacks a holistic perspective.

A. This statement pertains to the client's current state but does not represent an intervention taken by the nurse. It would be more appropriate for documentation in a narrative or assessment section rather than the intervention component.
B. This entry describes an outcome or finding related to the client’s condition rather than an intervention. While it is important data, it does not reflect an action taken by the nurse and thus would not be included in the intervention section.
C. It clearly describes a specific action taken by the nurse (administering medication) in response to the problem (nausea and vomiting). It directly addresses the client's needs and reflects an intervention aimed at treating the identified problem.
D. This statement indicates the problem or symptom that the client is experiencing but does not describe an intervention. While it is critical information for understanding the client’s condition, it belongs in the problem or assessment section rather than the intervention component.