A nurse is teaching a client who is to undergo placement of a nontunneled percutaneous central venous access device. Which of the following statements should the nurse include in the teaching?

Choice A reason: Amputation is not a contraindication for kidney donation, as it does not affect kidney function or surgical risks. Physical disability, if stable, does not preclude donation, so this condition is irrelevant to eligibility, making it incorrect.
Choice B reason: Primary glaucoma does not impact kidney function or donation safety. It is an eye condition unrelated to systemic health risks for donation, so it is not a contraindication, making this an incorrect choice for exclusion.
Choice C reason: Osteoarthritis, if mild, is not a contraindication for kidney donation, as it does not affect renal or surgical outcomes. Severe cases may pose mobility issues, but this is not typical, so it is incorrect as a contraindication.
Choice D reason: Hypertension is a contraindication for kidney donation, as it increases risks of renal damage and cardiovascular complications post-donation. It compromises long-term kidney function, aligning with transplant guidelines, making it the correct condition to identify.

Choice A reason: Marking drainage output every 48 hours is too infrequent to accurately assess drainage in a closed wound drainage system. Frequent monitoring (e.g., every shift) is needed to track output, detect complications like excessive bleeding, and ensure system functionality, making this intervention inadequate for assessment.
Choice B reason: Stripping the chest tube vigorously is not recommended, as it can increase intrathoracic pressure, risking tissue damage or bleeding. It does not assess drainage amount but manipulates the tube, potentially causing harm. Assessment requires observing output in the collection chamber, making this action incorrect.
Choice C reason: Maintaining the collection chamber below the client’s chest ensures proper drainage by gravity in a closed wound drainage system, like a chest tube. This position prevents backflow and allows accurate measurement of drainage output in the chamber, essential for assessing fluid loss and detecting complications like hemothorax.
Choice D reason: Adding water to the water seal chamber maintains system function but does not directly assess drainage amount. The water seal prevents air re-entry, not measures output. Assessment involves observing and recording drainage in the collection chamber, making this action irrelevant to the question’s focus.