A nurse is reviewing home recommendations with a client who is postoperative following knee surgery. Which of the following recommendations should the nurse make?

A) Administer sedation for the procedure: The administration of sedation is typically the responsibility of an anaesthesiologist or a provider. While some procedures may require sedation, the nurse does not initiate this without an order, making this option less appropriate.

B) Schedule an MRI post procedure to verify placement: MRI is not a standard method for verifying the placement of a peripherally inserted central catheter (PICC). Instead, a chest X-ray is usually performed to confirm correct placement in the superior vena cava, making this option inappropriate.

C) Measure the arm circumference above the insertion site daily: This intervention is appropriate as it helps monitor for complications such as swelling or thrombosis. Measuring the circumference can provide important information about the vascular status of the limb and any potential complications related to the catheter.

D) Use gauze to secure an arm board to the involved extremity: While stabilization of the arm may be necessary, gauze is not typically used to secure an arm board. Instead, secure devices or appropriate taping techniques are preferred. This option may not be the most effective or appropriate method for stabilization.

A) Direct statements to the interpreter: The nurse should address the client directly, not the interpreter. This approach helps establish rapport and ensures the client feels involved in the conversation.

B) Pause in the middle of sentences: Pausing mid-sentence can lead to confusion and may disrupt the flow of communication. It's important to complete thoughts before allowing the interpreter to translate.

C) Speak in a normal voice at a natural pace: This is the best practice when working with an interpreter. Speaking normally helps ensure that the interpreter can accurately convey the message without missing important nuances or details.

D) Use gestures when speaking with the client: While gestures can sometimes aid communication, they may not always be effective or culturally appropriate. Relying on gestures can lead to misunderstandings, so verbal communication should remain the primary focus.