Final answer:
In the second stage of labor, if a client is tiring and no longer making progress, options such as oxytocin administration, vacuum-assisted delivery, or cesarean section may be considered, while providing encouragement and support.
Step-by-step explanation:
If a client in the second stage of labor is tiring and no longer making progress after a few hours of pushing, the nurse might anticipate the healthcare provider to consider several options, depending on the situation. If it is determined that the labor needs augmentation, administration of oxytocin (Pitocin) may be suggested to increase the strength and frequency of uterine contractions and help progress labor. In cases where the baby's head is in the birth canal but the mother is unable to push effectively, a vacuum-assisted delivery might be considered. If the well-being of the mother or baby is at risk, or if there is no progress despite other interventions, the healthcare provider may consider performing a cesarean section. It's important for the nurse to provide encouragement and support to the client throughout the labor process, especially when the client is tiring, but continuous pushing without any progress may not be advisable.