A nurse is reinforcing client teaching about preventing stress injuries. Which of the following statements by the client indicates an understanding of teaching?

Rationale:

A. A client who has a firm fundus following a vaginal birth and reports continuous perineal pain of 8 on a scale of 0 to 10: Although the fundus is firm, severe continuous perineal pain may indicate complications such as hematoma or infection, requiring immediate assessment and intervention to prevent worsening condition.

B. A client who is 30 hr postpartum and reports feeling tearful and overwhelmed: Postpartum emotional lability is common in this timeframe and generally not an immediate safety concern. The nurse should provide support but this client’s condition is not urgent.

C. A client who is 12 hr postpartum and reports having to urinate frequently: Frequent urination postpartum may be due to diuresis or normal bladder function return and is not typically urgent unless accompanied by other signs of infection or retention.

D. A client who had a cesarean birth yesterday and reports burning incision pain of 5 on a scale of 0 to 10: Moderate incision pain is expected after surgery and can be managed with analgesics; it does not require immediate intervention compared to potential perineal complications.

Rationale:

A. Place a towel in the sink when cleaning the dentures: Lining the sink with a towel or filling it partially with water provides a cushion to prevent the dentures from breaking if accidentally dropped during cleaning. This is a key safety step in proper denture care.

B. Remove the lower dentures before the upper dentures: Upper dentures should be removed first because they are usually looser and easier to dislodge. Removing the lower dentures first increases the risk of damaging the upper set or causing discomfort to the client.

C. Store the dentures in a dry denture cup on the bedside table after cleaning: Dentures should always be stored in water or a denture-cleaning solution when not in use to prevent warping. Leaving them dry can cause them to crack, lose their shape and may increase contamination risk.

D. Use a circular motion to cleanse the biting surface of the dentures: Denture cleaning requires gentle scrubbing using vertical or back-and-forth strokes rather than circular motions, to effectively remove debris and avoid damaging the prosthetic structure.