A nurse is teaching a client who has an ileostomy about the care of their stoma site. Which of the following statements made by the client indicates the teaching was effective?

Rationale:
A. Approach the client from the side: Approaching from the side can startle or confuse a client with vision loss. It is safer to approach the client from the front while clearly announcing your presence, allowing them to orient themselves.

B. Keep objects in the client's room in the same place: Maintaining consistent placement of personal items and furniture helps the client navigate safely and reduces the risk of falls. Predictable surroundings support independence and confidence in mobility.

C. Allow extra time for the client to perform tasks: Clients with vision impairment may need additional time to complete activities of daily living safely. Allowing extra time reduces stress, promotes autonomy, and ensures tasks are performed correctly without rushing.

D. Touch the client gently to announce presence: Gentle physical contact, such as a hand on the shoulder, can alert the client to the nurse’s presence without startling them. This practice helps maintain safety and fosters clear communication.

E. Ensure there is high-wattage lighting in the client's room: Excessively bright lighting can cause glare and discomfort for clients with vision loss. Proper, diffuse lighting is preferred to enhance visibility without creating visual strain.

Rationale:
A. Encourage cultural practices to be incorporated into their care: Respecting and incorporating a Muslim client’s cultural and religious practices promotes culturally competent and patient-centered care. This approach fosters trust, comfort, and cooperation between the client and healthcare team.

B. Incorporate hot and cold practices into the client's care: Hot and cold theory is typically associated with Hispanic, Asian, and Middle Eastern folk medicine traditions, but not all Muslim clients follow this practice. Care should be based on the client’s individual beliefs.

C. Acknowledge that the client may be cared for by a male provider: Many Muslim women prefer to be cared for by female providers due to religious and cultural values of modesty. The nurse should make reasonable efforts to accommodate this preference whenever possible.

D. Have the client remove any face coverings to obtain their history: Muslim women who wear a niqab or hijab may choose to keep their face covered for modesty. The nurse should not insist on removal unless necessary for identification or assessment, and even then, it should be done privately with sensitivity to religious beliefs.