Question

Which client data should the nurse act upon when a home health aide calls the nurse from the client's home to report these items?

A) The client has complaints of not sleeping well for the past week.
B) The family wants to discontinue the home meal service, meals on wheels.
C) The urine in the urinary catheter bag is of a deeper amber, almost brown color.
D) The partner says the client has slower days every other day.

Answer 1

The nurse should act upon the client data that indicates a potential health issue or change in the client's condition.

Step-by-step explanation:

The nurse should act upon the client data that indicates a potential health issue or change in the client's condition. In this case, the data that should be of concern to the nurse are options A, C, and D.

Option A: The client complaining of not sleeping well for the past week could indicate a sleep disorder or an underlying health issue. The nurse should follow up with the client to assess the cause of their sleep disturbance and provide appropriate care.

Option C: The urine in the urinary catheter bag changing to a deeper amber, almost brown color could indicate dehydration or an underlying urinary tract infection. The nurse should assess the client's hydration status and evaluate for signs of infection.

Option D: The partner reporting that the client has slower days every other day could indicate a fluctuation in the client's health condition. The nurse should assess the client's symptoms and monitor for any changes in their health status.