Question

The nurse prepares a client diagnosed with cervical cancer for the insertion of an internal radiation implant. Which client statement requires immediate follow-up by the nurse?

A) "Unless I have a bowel movement every day, I just do not feel right."
B) "I am glad this whole process is only going to last 3 days."
C) "I will get up only when I have to urinate, and then I will go right back to bed."
D) "If it were not for my children, I would not be going through all of this."

Answer 1

The client statement that requires immediate follow-up by the nurse is option C) "I will get up only when I have to urinate, and then I will go right back to bed." This statement indicates that the client is not mobilizing enough, which can lead to complications such as blood clots and pressure ulcers. The nurse should follow up with the client to assess their mobility and educate them on the importance of regular movement and activity.

Step-by-step explanation:

The client statement that requires immediate follow-up by the nurse is option C) "I will get up only when I have to urinate, and then I will go right back to bed."

This statement indicates that the client is not mobilizing enough, which can lead to complications such as blood clots and pressure ulcers. The nurse should follow up with the client to assess their mobility and educate them on the importance of regular movement and activity.