A nurse is providing dietary instructions to a client who has cardiovascular disease. The nurse should identify that which of following statements by the client indicates an understanding of the teaching?

A) Instruct the client not to bend the affected leg:
Instructing the client to keep the affected leg straight is essential to prevent complications such as bleeding or hematoma formation at the catheter insertion site. Bending the leg could disrupt the clotting process, leading to bleeding and potentially severe complications.

B) Restrict the client's fluid intake:
Restricting fluid intake is not appropriate following a cardiac catheterization. Adequate hydration is encouraged to help flush out the contrast dye used during the procedure, which helps prevent kidney damage and other complications.

C) Elevate the head of the client's bed to a 45° angle:
Elevating the head of the bed to 45° can increase the risk of bleeding at the femoral artery puncture site. The client should remain flat or with the head of the bed slightly elevated (no more than 30°) to ensure stability of the insertion site and minimize the risk of bleeding.

D) Monitor the client's vital signs once every hour:
Vital signs should be monitored more frequently than once every hour immediately after the procedure. Monitoring should initially be done every 15 minutes to detect any early signs of complications, such as bleeding or hemodynamic instability, ensuring timely intervention if needed.

A) Clear items from the client's surrounding area:
While it is important to clear items from the surrounding area to prevent injury during a seizure, this should be done after ensuring the client's immediate safety. Lowering the client to the floor takes precedence to prevent falls and potential injuries.
B) Loosen the client's restrictive clothing:
Loosening restrictive clothing can help ensure the client’s comfort and maintain airway patency during a seizure. However, this action is not the most immediate priority compared to lowering the client to the floor.
C) Obtain the client's vital signs:
Obtaining vital signs is important to assess the client's status, but it is not the immediate priority during the active phase of a seizure. Ensuring the client's safety by preventing falls and injuries comes first.
D) Lower the client to the floor:
Lowering the client to the floor is the most immediate priority during a seizure. This action helps to prevent the client from falling and sustaining injuries. Once the client is safely on the floor, other measures can be taken to protect them and monitor their condition.