A nurse is giving discharge instructions to the parents of a child who has a broken arm and has just been fitted with a fiberglass cast. Which of the following instructions should the nurse include?

Choice A reason: Alone time for reflection may increase rumination in alcohol use disorder, not fostering self-control; positive feedback reinforces coping. Assuming alone time helps risks isolation, potentially worsening stress, critical to avoid in supporting adaptive behaviors and recovery in clients with alcohol use disorders.

Choice B reason: Gradual alcohol reduction is not ideal for alcohol use disorder, where abstinence is often recommended; positive feedback supports coping. Assuming reduction is effective risks enabling continued use, delaying recovery, critical to prevent in fostering self-control and sobriety in clients with alcohol dependence.

Choice C reason: Having the partner monitor alcohol intake undermines client autonomy, not promoting self-control; positive feedback reinforces independence. Assuming partner responsibility risks dependency, potentially hindering personal accountability, critical to avoid in supporting self-managed recovery in clients with alcohol use disorder.

Choice D reason: Giving positive feedback for adaptive coping strategies reinforces healthy stress management, promoting self-control in alcohol use disorder. This builds confidence, critical for sustained sobriety, encouraging alternative coping mechanisms, and supporting long-term recovery, essential for effective behavioral change in clients managing stress without alcohol.

Choice A reason: Increased blood pressure is not an effect of furosemide, which reduces fluid volume, lowering pressure. Weight loss indicates efficacy. Assuming increased pressure is correct risks misinterpreting diuresis, potentially delaying further fluid management, critical to avoid in treating fluid volume excess effectively.

Choice B reason: Decreased pain is unrelated to furosemide’s diuretic action, which targets fluid reduction, evidenced by weight loss. Assuming pain reduction is an indicator risks missing fluid status changes, critical to prevent in ensuring accurate assessment of furosemide’s effectiveness in fluid volume excess treatment.

Choice C reason: Decreased inflammation is not a furosemide effect; it promotes diuresis, reducing fluid, shown by weight loss. Assuming inflammation reduction is relevant risks misjudging medication efficacy, potentially overlooking fluid overload signs, critical to avoid in managing fluid volume excess with diuretic therapy.

Choice D reason: Weight loss indicates furosemide’s effectiveness, as it reduces fluid volume excess through diuresis, decreasing edema and body weight. This is critical for assessing therapeutic response, ensuring fluid balance, preventing complications like heart failure, and guiding further treatment in clients with fluid overload.