A nurse in a long-term care facility is reviewing a client's laboratory results. The client's potassium level is 5.8 mEq/L (3.5 to 5 mEq/L). Which of the following findings should the nurse expect?

A. "I am thankful I am done having children." This statement indicates that the client understands a key consequence of a hysterectomy—permanent infertility. Understanding the implications of the procedure is an essential component of informed consent, demonstrating that the client has received and comprehended relevant information.
B. "I will have a large scar on my stomach after this procedure." A vaginal hysterectomy is performed through the vaginal canal, meaning there will be no abdominal incision or visible scar. This statement reflects a misunderstanding of the surgical approach, indicating that the client may not have fully understood the procedure.
C. "I should expect my periods to resume in 1 month." A hysterectomy involves the removal of the uterus, which results in the permanent cessation of menstruation. This statement suggests that the client does not fully understand the effects of the procedure, which is inconsistent with informed consent.
D. "I will no longer need a regular gynecological examination." Even after a hysterectomy, regular gynecological exams remain important, especially if the cervix or ovaries are retained. These exams help monitor overall reproductive health and screen for conditions such as ovarian cancer or vaginal atrophy. This statement indicates misinformation about postoperative care.

A. Case manager. A case manager assists clients in accessing community resources, including financial assistance programs such as WIC (Women, Infants, and Children) and other social services that provide formula for infants. This referral ensures the client receives the necessary support to meet her baby's nutritional needs.
B. Primary care provider. A primary care provider focuses on the client’s medical care rather than financial or social concerns. While they may provide guidance on infant nutrition, they are not the best resource for addressing the client’s financial difficulties in obtaining formula.
C. Nutritionist. A nutritionist provides dietary guidance but does not handle financial assistance programs. They may educate the client on proper infant feeding, but they cannot directly assist with obtaining formula for a client who cannot afford it.
D. Pediatric nurse practitioner. A pediatric nurse practitioner specializes in infant health but does not typically manage financial concerns. They may assess the baby’s growth and nutritional needs but would refer the client to a case manager or social services for formula assistance.