A nurse is reinforcing teaching with a client who is at risk for hypertension. Which of the following risk reduction strategies should the nurse Include in the teaching?

Rationale:

A. "This medication prevents your baby from developing jaundice.": Phytonadione (vitamin K) does not play a role in bilirubin metabolism or the prevention of jaundice. Jaundice results from immature liver function and increased bilirubin levels, unrelated to vitamin K activity.

B. "This medication prevents your baby from developing bleeding problems.": Phytonadione is given to newborns to promote clotting factor synthesis and reduce the risk of hemorrhagic disease of the newborn. Newborns have low vitamin K stores at birth, making supplementation essential for preventing bleeding disorders.

C. "This medication enhances regulation of your baby's temperature.": Thermoregulation in newborns is managed by external warming and metabolic processes, not by vitamin K. Phytonadione has no impact on temperature control or thermal stability.

D. "This medication enhances your baby's immune response.": Vitamin K does not affect immune function. Its role is in coagulation, not immune system development or enhancement, and therefore does not influence infection prevention or immune strength.

Rationale:

A. Occupational therapist: An occupational therapist helps clients regain skills for daily living and can assess driving ability, but they are not typically responsible for arranging transportation or addressing confidence-related psychosocial issues. A referral may follow but is not the first step here.

B. Social worker: A social worker assists clients with coping and resource coordination, including transportation services, community support, and addressing emotional or confidence barriers. This makes them the most appropriate referral when a client is unsure about attending follow-up care.

C. Primary care provider: While the PCP oversees general medical care and referrals, they are not responsible for coordinating transportation. The nurse can directly initiate a more appropriate referral rather than relying on the PCP for this non-medical concern.

D. Physical therapist: A physical therapist focuses on improving physical function, mobility, and strength. They do not handle transportation issues or confidence concerns related to attending appointments, making them less relevant in this context.