A home health nurse is assisting in the care of a client following a modified radical mastectomy. Which of the following statements by the client indicates effective coping?

A. "Consume vitamin D supplements daily": This is correct as vitamin D is crucial for calcium absorption and bone health, which helps in preventing osteoporosis.
B. "Obtain an x-ray of your growth plate every 6 months": This is not necessary for osteoporosis prevention. Growth plates are relevant in children and adolescents, not in older adults.
C. "Decrease vitamin K in your diet": Vitamin K is important for bone health and should not be decreased. It plays a role in bone mineralization and should be included in a balanced diet.
D. "Engage in passive range-of-motion exercises": Active weight-bearing exercises are more beneficial for preventing osteoporosis. Passive range-of-motion exercises do not provide the same benefits for bone density and strength.

A. Temperature: The temperature remains stable and within normal limits. A postoperative temperature range of 36.3° C (97.3° F) to 36.4° C (97.5° F) is not indicative of infection or other complications at this time.

B. Heart rate: The heart rate has increased from 84/min to 104/min, indicating sinus tachycardia. This could be a compensatory response to decreased blood volume or another underlying issue, necessitating further assessment.

C. Skin findings: The skin findings are described as warm and dry, which is normal. No abnormalities are noted, so this does not require follow-up.

D. Respiratory rate: The respiratory rate has increased slightly to 24/min but is not significantly abnormal. This may not be a priority for follow-up unless other symptoms are present.

E. Oxygen saturation: The oxygen saturation is within normal limits (96% on room air), suggesting adequate oxygenation. No immediate concerns are evident based on this measurement.

F. Blood pressure: The blood pressure has dropped from 106/74 mm Hg to 88/54 mm Hg, indicating possible hypotension. This drop could signal hypovolemia or bleeding, requiring prompt follow-up to investigate the cause.

G. Urinary output: The urinary output of 110 mL over 6 hours is low, which might indicate dehydration or renal issues. Monitoring and addressing this finding are important to ensure adequate fluid balance and kidney function.