A nurse is reinforcing teaching about home management with the partner of a client who has dementia. Which of the following instructions should the nurse include in the teaching?

Rationale:

A. "You will need to report any temperature above 98 Fahrenheit after discharge.": Reporting a temperature above 98°F is unnecessary, as this is within the normal range. Fever is typically defined as a temperature over 100.4°F and may indicate infection if it occurs postoperatively.

B. "I'm sure you know that clients have self-esteem issues after having surgery.": Generalizing the client’s emotional response can be dismissive and discourages open communication. Emotional reactions to hysterectomy vary, so individual concerns should be explored respectfully.

C. "Your kidneys should produce about 20 milliliters of urine each hour after surgery.": Stating a urine output of 20 mL/hour reflects an inaccurate understanding of kidney function. Normal renal output is at least 30 mL/hour, and anything less may indicate hypoperfusion or renal impairment.

D. "Let me know if you would like to hear about non-sexual ways to connect with a partner after surgery.": Offering information while allowing the client to guide the discussion respects emotional boundaries and promotes holistic recovery. This also acknowledges the impact surgery may have on intimacy without making assumptions.

Rationale:

A. Attempt to extinguish the fire before evacuating clients: The priority is client safety. Attempting to extinguish a fire should only be done if the fire is small, contained, and the area has been cleared. Evacuation takes precedence over suppression efforts.

B. Aim the spray of the fire extinguisher at the top of the fire: The correct technique is to aim at the base of the fire to effectively cut off the fuel source. Aiming at the top will not extinguish the fire and may waste the extinguisher’s contents.

C. Open nearby doors and windows when the fire alarm sounds: Opening doors and windows can cause the fire to spread more rapidly by feeding it with oxygen. Doors should remain closed to help contain the fire and reduce the spread of smoke.

D. Have ambulatory clients walk independently to a safe location: Encouraging ambulatory clients to move independently helps prioritize assistance for those who are immobile or require more support. This approach ensures a quicker, safer evacuation process.