Question

A nurse is planning care for a client who is postpartum and has cardiac disease. For what script should the nurse seek clarification?

a. initiate bedrest with HOB elevated
b. initiate high-fiber diet for client
c. monitor clients wt wkly
d. monitor client's I&O

Answer 1

The student's question is about a postpartum care plan for a client with cardiac disease and which script a nurse should clarify. Interventions include bed rest with the head of bed (HOB) elevated, a high-fiber diet, weekly weight monitoring, and intake and output (I&O) monitoring. Clarification might be necessary if any of these interventions are not clearly explained or seem contraindicated.

Step-by-step explanation:

The student is asking about the care plan for a postpartum client with cardiac disease. In this scenario, it is crucial for the nurse to understand and implement appropriate interventions to ensure both maternal and child health. For the participant script that the nurse should seek clarification on, we will go through each option:

• Initiate bedrest with HOB elevated: This is a common practice to reduce the workload on the heart and improve venous return, thus may not require clarification.
• Initiate a high-fiber diet for the client: A high-fiber diet can prevent constipation and reduce the strain during bowel movements, which is beneficial for clients with cardiac conditions.
• Monitor client's weight weekly: Weight monitoring is crucial because rapid weight gain might suggest fluid retention, a common concern in cardiac patients.
• Monitor client's I&O: Monitoring intake and output is essential for managing fluid balance in clients with cardiac disease.

Given these points, if there is any script that seems vague or potentially contraindicated, the nurse should seek further clarification on that particular intervention from the healthcare team.