Final answer:
The nurse should educate the elderly client that healing might take longer, to eat nourishing foods, that sun exposure may impact wound healing, and to monitor mood changes for signs of depression. It's not advised for the client to handle everything alone. Correct responses are 1, 2, 4, and 5.
Step-by-step explanation:
The correct teaching elements a nurse should provide to a 78-year-old client scheduled for surgery regarding self-care at home after the surgery include:
- "It may take you longer to heal than someone younger."
- "Eat nourishing foods after surgery to promote healing."
- "Wound healing can take longer if you have been exposed often to the sun."
- "Monitor your moods after surgery. Depression after surgery is not normal and should be addressed."
This means that providing support and information about the potential for a slower healing process is important. Nutritional support is crucial for recovery, and patients should be advised to consume nourishing foods to aid in healing. Knowledge about the possibility of a longer wound healing time due to past sun exposure is also valuable. Additionally, monitoring mood swings and potential signs of depression is important after surgery as they can impact the overall recovery.
It is not advisable for the patient to try to do everything by themselves, as this can lead to strain or injury. Therefore, the correct responses to the student's question are 1, 2, 4, and 5, which correspond to option a.