A nurse is providing teaching about client rights to a client who has a brain tumor. Which of the following client statements indicates an understanding of the teaching?

D. Instructing the client not to bend the affected leg helps prevent accidental dislodgement of the arterial sheath or catheter and reduces the risk of bleeding or hematoma formation at the insertion site.

A While monitoring vital signs is important, doing so once every hour is not specified as a standard post- procedure action.

B. Elevating the head of the bed to a 45° angle and restricting fluid intake are not standard care measures following this procedure and could potentially be contraindicated.

C. This action is not typically necessary following a cardiac catheterization unless there are specific indications such as fluid overload or impaired renal function

D. The nurse should ensure that the client understands how to use the PCA device, including how to press the button to deliver a dose, the lockout interval (if applicable), and any safety features. Proper education empowers the client to manage their pain effectively while minimizing risks.

A The nurse should monitor the client's respiratory rate, depth, and effort more frequently than every 4 hours, particularly during the first 24 hours of PCA use

B. Family members should be educated on the purpose of the PCA device but should not be encouraged to operate it on behalf of the client.

C. The nurse should not administer an oral opioid for breakthrough pain as the client is already receiving morphine via PCA. Adjusting the PCA settings or providing additional IV opioid doses are more appropriate interventions for managing breakthrough pain in this context.