The nurse is assisting in the care of a client who developed multiple thrombi following delivery and is in critical condition

As the nurse hurries from the client's room to the medication room, the family step out and beg the nurse to explain what's happening, and ask how the client is doing. The nurse provides a quick update and asks the unit clerk to: 1. Sit with the family and explain what is happening.
2. Ask the family not to disturb the nurses, who are trying to care for the client.
3. Call the facility chaplain to sit with the family and provide support.
4. Assess the family's coping mechanisms and report back to the nurse.


3
Rationale: The nurse would ask the unit clerk to call the chaplain, social worker, or charge nurse to sit with the family and provide support while the nurses are busy providing client care. The unit clerk is not properly trained to support the family, assess coping strategies, or help them understand what is happening. The family should not be told not to disturb the nurses, as they have every right to be concerned.

Nursing

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