A nurse is planning a community health program about Parkinson's disease. Which of the following interventions should the nurse include as a tertiary prevention strategy?

A) "I can hold my cell phone on the same side of my body as the ICD.": This statement shows a misunderstanding of safety precautions. Clients with an ICD should keep their cell phones on the opposite side of their body from the device to prevent any potential interference.

B) "I will avoid using my microwave oven at home because of the ICD.": This statement indicates a misunderstanding, as microwaves are generally safe to use with an ICD. The concern is primarily with larger electrical devices or magnets that could interfere with the ICD.

C) "I will wear loose clothing over my ICD.": This statement demonstrates understanding. Wearing loose clothing helps to avoid irritation at the implantation site and does not restrict the function of the ICD, making it an appropriate choice for post-discharge care.

D) "I will soak in the tub rather than showering.": This statement reflects a misunderstanding, as soaking in a tub could pose a risk of water entering the incision site, especially during the healing period. Clients are typically advised to shower instead and avoid submerging the device until cleared by their healthcare provider.

A) Administer 1 L dextrose 5% in water IV bolus prior to the procedure: Administering a large volume IV bolus is generally unnecessary before a paracentesis. It can lead to abdominal distension and discomfort, potentially complicating the procedure. Fluid management should be carefully considered based on the client’s condition rather than a standard bolus.

B) Initiate NPO status 4 hr prior to the procedure: Paracentesis typically does not require NPO status unless sedation is planned, which is uncommon. Keeping the client NPO can cause unnecessary discomfort and does not align with standard pre-procedural care for a paracentesis, which usually allows for regular oral intake.

C) Position the client over an overbed table prior to the procedure: While positioning is crucial for comfort and access, clients are generally positioned sitting at the edge of the bed or in a semi-Fowler's position. An overbed table may not provide adequate support and could lead to discomfort or complications during the procedure.

D) Instruct the client to empty her bladder prior to the procedure: This action is important as it helps reduce the risk of bladder injury during the paracentesis and minimizes discomfort. An empty bladder allows for better access to the abdominal cavity, indicating that the nurse understands the necessary preparations for the procedure.