A client with a compound fracture of the left ankle is being discharged with a below-the-knee cast. Which

instruction should the practical nurse (PN) provide to the client prior to discharge?

Choice A reason: Inability to take risks is not a quality of an effective nurse leader because it can limit the nurse's creativity, innovation, and problem-solving skills, as well as prevent the nurse from exploring new opportunities and learning from mistakes.

Choice B reason: Never considers being a follower is not a quality of an effective nurse leader because it can isolate the nurse from the team, hinder collaboration and communication, and create a sense of superiority and arrogancE.

Choice C reason: Ability to set priorities is a quality of an effective nurse leader because it can help the nurse manage time, resources, and tasks efficiently and effectively, as well as focus on the most important and urgent goals and outcomes.

Choice D reason: Integrity is a quality of an effective nurse leader because it can foster trust, respect, and honesty among the team, as well as demonstrate the nurse's adherence to ethical principles and professional standards.

Choice E reason: Critical care certification is not a quality of an effective nurse leader because it is a credential that reflects the nurse's knowledge and competence in a specific area of practice, but not necessarily their leadership skills or abilities.

Choice A reason: Limiting fluid intake to prevent incontinence is not the highest priority intervention for this client because it can cause dehydration, urinary tract infections, or kidney stones, which can worsen the client's condition and quality of lifE. The client should be encouraged to drink adequate fluids and empty their bladder regularly.

Choice B reason: Providing regular perineal care to prevent skin breakdown is the highest priority intervention for this client because it can prevent infection, irritation, and ulceration of the skin around the genital and anal areas, which can cause pain, discomfort, and complications. The client should be kept clean and dry, and use barrier creams or pads as needeD.

Choice C reason: Administering hypotonic IV fluids is not an intervention for this client because it can cause fluid overload, hyponatremia, or cerebral edema, which can endanger the client's health and safety. The client does not need IV fluids unless they are dehydrated or have other indications.

Choice D reason: Teaching Kegel exercises to strengthen the pelvic floor is not an intervention for this client because it can be ineffective or harmful for clients with reflex incontinence, which is caused by loss of voluntary control over bladder contractions due to spinal cord injury. The client may benefit from other interventions such as bladder training, medication, or surgery.