Patient Data The nurse is stabilizing the client and preparing her for surgery. Which goals should the nurse prioritize in the care plan for the client while in the emergency department? Select all that apply.

A. Client education about diagnosis and plan of care: Important for informed consent, cooperation, and reducing fear. The client is alert and oriented, so she should be provided with accurate information about appendicitis, surgical intervention, and next steps. B. Effective coping with illness related anxiety: The client has a history of anxiety and reports feeling anxious during this episode. Addressing anxiety helps reduce sympathetic stimulation, supports emotional well-being, and improves overall cooperation with care. C. Promotion of bowel routine: Not a current priority. The client’s bowel pattern is normal, and constipation is not contributing to the acute condition. Interventions should focus on the acute issue rather than chronic baseline management. D. Infection prevention related to illness: Critical due to elevated WBC, fever, and confirmed appendicitis. Delayed or perforated appendicitis can lead to peritonitis or sepsis, so infection control is a top goal before and after surgery. E. Relief of acute pain: A major priority as the client reports severe pain (9/10). Pain control improves comfort, reduces physiological stress responses, and is essential prior to surgical intervention. F. Fluid volume management: The client has tachycardia, fever, and vomiting, placing her at risk for hypovolemia. The 1-liter lactated Ringer's bolus is essential to stabilize circulatory volume before anesthesia or surgery. G. A review of diet progression postoperatively: Not a current focus in the ED. Nutritional education is typically addressed postoperatively when the client is recovering and cleared to resume oral intake. H. Prevention of deep vein thrombosis (DVT) related to immobility: Important in longer-term or postoperative care, but not a priority during acute stabilization in the emergency setting before surgery.