A nurse is caring for a client who is 2 hr postoperative. Which of the following findings should the nurse report to the provider?

Rationale:
A. Guide the client by walking parallel with them: Clients with visual impairment should be guided by walking slightly ahead of them, allowing them to hold the nurse’s arm and follow safely. Walking parallel can limit spatial awareness and increase the risk of collision or falls.

B. Rearrange clients bedside table items frequently: Frequently moving personal items can confuse a client with reduced vision and increase the risk of injury. Maintaining a consistent environment promotes independence and safety.

C. Remove objects from client's path to the bathroom: Clearing pathways reduces the risk of trips and falls, which is essential for clients with impaired vision. Ensuring a clutter-free environment is a key safety intervention in the plan of care.

D. Use a loud tone of voice when speaking with the client: A louder voice is unnecessary unless the client has a hearing impairment. Communication should focus on clear, descriptive verbal guidance rather than volume, emphasizing orientation and safety.

Rationale:
A. Apply a cool pack to the perineum: Cool packs are useful for reducing perineal swelling and discomfort after delivery, not during the latent phase of labor. At this stage, the client benefits more from relaxation and distraction techniques that help manage early contractions.

B. Encourage the client to use pant-blow breathing: Pant-blow or patterned breathing is recommended during the transition phase of labor, when contractions are intense and close together. In the latent phase, the client typically uses slow, relaxed breathing to conserve energy and remain calm.

C. Have their support person leave the room when the doula arrives: Both the doula and the support person play complementary roles in providing emotional and physical support. Asking the partner to leave can increase anxiety and reduce the sense of safety.

D. Lightly stroke the abdomen during contractions: Light abdominal stroking, known as effleurage, promotes relaxation and distraction from contraction pain during the latent phase. This technique aligns with natural childbirth methods by using soothing touch to reduce tension and enhance comfort without pharmacologic intervention.