A nurse is caring for a client who has a below-the-knee amputation. Which of the following statements should indicate to the nurse that the client has adapted to role changes after their injury?

A. Digoxin: Digoxin is a cardiac glycoside used to treat heart failure and arrhythmias. It does not directly affect platelet aggregation or coagulation, so it does not increase the risk of bleeding.

B. Ibuprofen: Ibuprofen is a NSAID that, like naproxen, inhibits cyclooxygenase (COX) enzymes. This reduces the production of prostaglandins, which are involved in inflammation and platelet aggregation. This increases the risk of bleeding, especially when used in combination with other NSAIDs like naproxen.

C. Captopril: Captopril is an ACE inhibitor used primarily for hypertension and heart failure. While it can increase potassium levels and cause hypotension, it does not directly increase the risk of bleeding. Its primary effects are related to blood pressure and kidney function.

D. Phenytoin: Phenytoin is an anticonvulsant. While it has numerous drug interactions, it does not directly increase bleeding risk. However, it can affect vitamin K metabolism, which may influence clotting factors, but its effect on bleeding is not as significant as that of NSAIDs.

A. "Drink 4 to 6 ounces of juice.": Drinking 4 to 6 ounces of juice, which contains carbohydrates, will quickly raise blood glucose levels. This amount is sufficient to correct mild hypoglycemia.
B. "Consume two glucose tablets and check your blood glucose 1 hour later.": After consuming glucose tablets, the client should check their blood glucose in about 15 minutes, not 1 hour. If blood glucose is still low, more glucose should be consumed sooner.
C. "Consume 1 teaspoon of corn syrup-based glucose gel.": One teaspoon of glucose gel is not enough to treat hypoglycemia. A typical recommendation would be 15-20 grams of fast-acting carbohydrates (e.g., glucose tablets or juice), which is more than 1 teaspoon of gel.
D. "Eat two crackers with peanut butter.": This combination is not ideal for treating hypoglycemia quickly. The protein in peanut butter will slow the absorption of glucose, which delays the correction of hypoglycemia. Fast-acting carbohydrates are preferred for rapid treatment.