A nurse is preparing to administer medication to a client.
Which of the following identifiers should the nurse use to identify the client?

Choice A rationale

Rewrapping the bandage every 8 hours is too infrequent. The residual limb bandage should be checked and rewrapped more frequently to ensure continuous, even compression and to prevent the bandage from slipping, which can cause skin irritation or tourniquet effects. The correct application should be in a figure-eight pattern.

Choice B rationale

A client who has undergone a below-the-knee amputation should be turned more frequently than every 4 hours to prevent pressure ulcers and contractures. Turning every 2 hours is the standard of care for a bedridden client. Prolonged pressure on the surgical site can compromise circulation and healing.

Choice C rationale

A trapeze can be a useful tool for clients with lower limb weakness, but for a client post-amputation, excessive upper body strength exertion with the trapeze can cause a compensatory increase in muscle tone and pressure on the stump, which may compromise healing. The focus is to support the residual limb, not to put strain on it.

Choice D rationale

An air mattress, also known as a low-air-loss mattress, is designed to reduce and redistribute pressure evenly across the body's surface. This is particularly important for a client with an amputation to prevent pressure ulcers, promote circulation, and protect the residual limb's surgical incision from excessive pressure, which aids in healing

Choice A rationale

Tomato soup is highly acidic due to its tomato base, which can relax the lower esophageal sphincter (LES) and increase stomach acid production. This can lead to the reflux of gastric contents into the esophagus, exacerbating the symptoms of GERD. The client should avoid highly acidic foods to manage their condition effectively.

Choice B rationale

White fish is a lean protein that is generally low in fat. High-fat foods can delay stomach emptying and decrease the pressure of the lower esophageal sphincter, increasing the risk of acid reflux. Lean proteins like white fish are less likely to trigger symptoms and are therefore a suitable dietary choice for a client with GERD.

Choice C rationale

Hot cocoa contains both caffeine and fat, which are known to exacerbate GERD symptoms. Caffeine can relax the lower esophageal sphincter, allowing stomach acid to reflux. Additionally, the fat content can delay gastric emptying, increasing pressure on the LES and worsening acid reflux symptoms.

Choice D rationale

Decaffeinated coffee can still trigger GERD symptoms. Coffee, even without caffeine, is acidic and can stimulate the production of stomach acid. The oils and compounds in coffee can also relax the lower esophageal sphincter, increasing the likelihood of acid reflux and causing irritation to the esophageal lining.