Final answer:
The nurse should prioritize arranging follow-up care and management of post-operative complications for a client who had a GTD evacuation, ensuring access to medical services despite her transportation limitations.
Step-by-step explanation:
The most important intervention for a nurse to implement for a client who recently had a gestational trophoblastic disease (GTD) evacuated is to ensure the client has access to follow-up care and can manage potential post-operative complications. Given that the client lives in a rural area and lacks transportation, establishing a plan for access to healthcare facilities is crucial. Arranging for community resources, such as local support services or transport services specifically for medical appointments, might be necessary.
It's imperative to monitor the client's levels of human chorionic gonadotropin (hCG) following GTD evacuation to check for the persistence of trophoblastic tissue, which can lead to serious complications. Additionally, the nurse needs to provide patient education on signs of complications, such as excessive bleeding or infection, and ensure the client understands when and how to seek immediate medical help.
Moreover, due to the client's situation, with a young child and a husband who uses the family car for work, assessing the client's social support network and coordinating care to aid in her recovery and ability to care for her child is critical.