A nurse is admitting a client who has a history of atrial fibrillation. Which of the following conditions should the nurse recognize atrial fibrillation places the client at risk for?

Rationale:
A. "Take a stool softener daily.": Preventing straining during bowel movements is critical after retinal surgery because increased intraocular pressure from straining can disrupt the surgical repair. Stool softeners help maintain soft stools and reduce the risk of increased eye pressure.

B. "You can lift objects that weigh 15 pounds.": Clients should avoid heavy lifting after retinal surgery to prevent increased intraocular pressure. The amount of weight considered safe is minimal, and lifting anything heavier can compromise the surgical site.

C. "Avoid reading for 3 days following surgery.": Light visual activities like reading are usually permitted after surgery, depending on provider instructions. Complete restriction is unnecessary, though clients should avoid activities that increase eye strain or involve prolonged downward gaze.

D. "Pick up items by bending at the waist.": Bending at the waist increases intraocular pressure, which can compromise the retina. Clients should be instructed to bend at the knees and keep the head upright when picking up objects to protect the surgical repair.

Rationale:
A. Walk with feet close together for stability: Walking with feet close together increases the risk of loss of balance and falls in clients with multiple sclerosis (MS). A wider stance provides greater stability and a safer base of support when ambulating.

B. Implement a rigorous range-of-motion exercise plan: While exercise is beneficial, a rigorous plan can lead to fatigue and exacerbate MS symptoms. Activities should be moderate and spaced with rest periods to prevent overexertion, which can worsen weakness and spasticity.

C. Use a cane for support while walking: Using a cane provides additional balance and stability, helping to prevent falls. Clients with MS often experience muscle weakness and impaired coordination, so assistive devices like canes or walkers promote safe mobility and independence.

D. Avoid the use of orthotics: Orthotic devices can be very helpful for clients with MS who experience foot drop or lower extremity weakness. Avoiding orthotics removes a potential source of support and increases the risk of tripping and falling during ambulation.