Final answer:
The correct statement is that a client post-heart transplant may not be able to feel chest pain due to severed nerve connections, which may not fully regenerate. Changes in activity tolerance are expected, sodium intake should remain low indefinitely, and immunosuppressants are usually required for life to prevent organ rejection.
Step-by-step explanation:
The correct statement that a nurse should include in the teaching for a client who is 2 days post-op following a heart transplant is: "you may no longer be able to feel chest pain." This is because the nerve connections between the heart and the rest of the body are severed during a heart transplant, and it may take time for them to regenerate, if they do at all. It is important for the client to be aware of this because chest pain is a common way that heart issues are signaled.
Clients who undergo a heart transplant will necessarily experience changes in their level of activity tolerance, and it may improve over time as they recover, but this is not guaranteed, and it will not remain unchanged. As for dietary restrictions, particularly sodium intake, clients with a heart transplant typically need to maintain a low-sodium diet indefinitely to help manage blood pressure and reduce the workload on the new heart. Finally, regarding the use of immunosuppressants, these medications are typically required for the life of the transplanted organ to prevent organ rejection. This does not change after 12 months.