A postoperative client is preparing for discharge. A home health nurse has been scheduled to call on the client in two days. The client tires easily and voices an inability to concentrate on all of the information the nurse is attempting to review. Which of the subjects concerning the client's condition and home care may be deferred for the home health nurse?

Correct Answer: B

Rationale: The correct answer is B because discussing the activities during the four-week checkup with the physician can be deferred to the home health nurse as it is not immediately essential for the client's immediate postoperative care and discharge. The focus should be on ensuring the client understands crucial information for their immediate care, such as the recommended diet and potential adverse reactions of medications. These topics directly impact the client's recovery and safety. Discussing the actions of prescribed medications is also crucial for the client's ongoing care and should not be deferred. Therefore, choice B is the most appropriate subject to defer to the home health nurse.

Correct Answer: D

Rationale: The correct answer is D: The examination is best performed after the menstrual period because breasts are least likely to be tender or swollen at this time, making it easier to detect any abnormalities. Performing the examination right after the period also ensures a consistent time each month. A: It does matter what day the examination is performed as timing can impact the accuracy of the examination. B: Performing the examination on the first day of the menstrual period may not be ideal as breasts can be more tender and swollen during this time, potentially affecting the accuracy of the examination. C: Performing the examination in the days just prior to the menstrual period may also not be ideal as breasts tend to be more tender and swollen during this time, making it harder to detect abnormalities.

Correct Answer: C

Rationale: Step-by-step rationale for choice C: 1. Herpes simplex II can be transmitted even when there are no visible lesions (asymptomatic shedding). 2. The prodromal period is when the person may experience tingling or itching before lesions appear. 3. Avoiding sexual relations during prodromal period and until healed reduces transmission risk. 4. Waiting for at least 10 days after lesions are healed further decreases transmission risk. Summary: - Choice A is incorrect because transmission can occur even without visible lesions. - Choice B is incorrect as condom use may reduce but not prevent transmission entirely. - Choice D is incorrect because sexual activity should still be avoided during the healing period.

Correct Answer: B

Rationale: Correct Answer: B - High-protein diet with vitamins and mineral supplements Rationale: 1. High-protein diet aids in tissue repair and wound healing, crucial for preventing pressure ulcer formation. 2. Vitamins and mineral supplements support overall nutritional status, essential for skin integrity and healing. 3. Protein is vital for maintaining muscle mass, which helps prevent pressure ulcers. 4. Focusing on protein and essential nutrients is key for overall health and immune function. Summary of other choices: A: Low-fat diet may lack essential nutrients for wound healing. Vitamin supplements alone may not provide adequate protein for tissue repair. C: A vegetarian diet can be nutritious, but fish oil may not be sufficient for protein needs. Nutritional supplements may not provide enough protein. D: Low-fat, low-cholesterol, high-fiber, low-carb diet may lack adequate protein for tissue repair and wound healing.

Correct Answer: B

Rationale: The correct answer is B: Wear gloves when bathing the client. This is crucial to prevent the spread of infection from the open skin lesions. By wearing gloves, the UAP can protect themselves and the client from potential harm. A: Washing hands before touching the client is important for general hygiene, but gloves are specifically needed to prevent infection transmission. C: Assessing skin for breakdown is the nurse's responsibility, not the UAP's. D: Applying lotion to lesions while the skin is wet can introduce bacteria and is not within the UAP's scope of practice.