What is the best action to perform the second of the six actions identified as part of planned client care for this client? Call the physician to get an order for a Nicotine Patch, and report decreased urinary output with amber urine.

Notice: The patient is demanding a cigarette, and his main focus appears to be on having a smoke rather than his vitals, oxygen, or stockings. The urine bag should have more output than 40cc, and the color should be amber.

Interpret: Smoking is this patient’s. We can use this to cluster-call information to the physician inquiring about a Nicotine Patch order and the decrease in urine output and color. The decrease in urine output and the dark coloring could be an indication of kidney injury from the motor vehicle accident.

Respond: Call the physician for an order for a Nicotine Patch and report the decrease in urine output, stressing that this patient was just in a motor vehicle accident and underwent

Reflect: Even though smoking or nicotine decreases wound healing and can lead to poor circulation, the patient is worked up over not having nicotine in his body at this time. This places the client at risk of elevating his blood pressure and could lead to the formation of embolisms and strokes. Suppose the patient is able to have nicotine relief. In that case, their pain levels and what appears to be agitation at this time should decrease, causing blood pressure to decrease, oxygen saturation to increase, and pain to decrease (Bender, D., 2014). The patient was just in a motor vehicle accident that left him with multiple injuries to the abdominal area Kno. Wing, the trauma to this area can lead to kidney injury; an assessment of the kidneys should be ordered and done via lab draws and urine tests (Perkins, Z., 2019).