A nurse is providing discharge teaching to a client who will be receiving total parenteral nutrition (TPN) at home.
Which of the following instructions should the nurse include? (Select all that apply.)

Choice A rationale

Notifying the healthcare provider is necessary, but assessing the client's condition comes first to provide relevant information.

Choice B rationale

Assessing the client's vital signs and telemetry monitor is the first step to determine the cause of chest pain and ensure it is not due to a life-threatening issue such as myocardial infarction.

Choice C rationale

Encouraging the client to take deep breaths can be helpful but is not the first priority. It addresses pain related to breathing but not the underlying cause.

Choice D rationale

Administering pain medication is important, but only after determining the cause of the chest pain and ruling out serious complications.

Choice A rationale

Visible signs of bone healing on an X-ray would not be expected after Buck's traction. Healing takes longer to become visible on an X-ray.

Choice B rationale

Increased swelling and redness would indicate complications such as infection or thrombophlebitis, not the effectiveness of traction.

Choice C rationale

Improved range of motion would not typically be expected while Buck's traction is in place. The primary purpose is to reduce pain and immobilize the fracture.

Choice D rationale

Decrease in hip pain is a direct indicator of the effectiveness of Buck's traction in alleviating symptoms and preventing further injury to the fractured femur.