A nurse is reinforcing teaching with a client who has acute glomerulonephritis with edema. Which of the following statements should the nurse make?

Choice A Reason:
Nocturia, or frequent urination during the night, can be a symptom of various conditions, including urinary tract infections, diabetes, or high fluid intake before bed. While it can affect the client's sleep and quality of life, it is not typically considered an immediate priority unless it is indicative of a more serious underlying condition.

Choice B Reason:
A history of generalized anxiety disorder is important to consider for a client's overall mental health and well-being. It may affect how the client copes with hospitalization and can influence the plan of care. However, it is not usually an immediate priority upon admission unless the client is currently experiencing severe anxiety or panic attacks.

Choice C Reason:
Recent exposure to tuberculosis (TB) is a critical piece of information that must be addressed promptly. TB is a highly contagious bacterial infection that can spread quickly in a semi-private room or hospital setting. The nurse must report this to the healthcare provider and infection control team to initiate appropriate isolation precautions and testing.

Choice D Reason:
While periodic migraine headaches can significantly impact a client's comfort and ability to participate in care, they are not typically a priority for immediate action upon admission unless the client is currently experiencing a migraine.

Choice A Reason:
This statement is based on outdated information. Modern pacemakers are designed to withstand interference from microwave ovens, so it is not necessary to avoid them.

Choice B Reason:
Patients with pacemakers should be cautious about MRI scans because they can interfere with the device. However, many modern pacemakers are MRI-compatible, and a patient may undergo an MRI scan under specific conditions and with appropriate medical supervision.

Choice C Reason:
Traveling by plane is generally safe for individuals with pacemakers. Airport security detectors may detect the metal in the pacemaker, but they won't damage it. It's recommended to carry a pacemaker identification card when traveling.

Choice D Reason:
Holding a cell phone against the ear on the opposite side of the pacemaker is a recommended precaution to avoid potential electromagnetic interference. Although the risk is minimal, it is a simple measure to ensure the pacemaker functions properly.