A nurse is educating a client who has a urinary alteration about the common causes of dysuria. Which of the following client statements indicates an understanding of the teaching?

A. Review the child's electronic pain diary: This should be the first action as it provides valuable information about the frequency, triggers, duration, and severity of the headaches. It helps the nurse and provider make informed decisions about treatment and next steps.
B. Request a change in medication from the provider: Medication changes should be based on a thorough assessment of the child’s headache pattern and response to current therapy, which starts with reviewing documented data.
C. Set up an appointment with the school nurse: While coordination with the school is important for managing chronic conditions, it is not the priority action before understanding the nature and pattern of the headaches.
D. Refer the family to a chronic pain support group: Support groups are helpful in long-term management, but should follow a thorough assessment and diagnosis of the child’s condition and needs.

A. Evaluate the client's ability to help with repositioning: Assessing the client’s strength, coordination, and cognitive status is essential to ensure safety and determine the level of assistance required. This reduces the risk of injury to both the client and the nurse during movement.
B. Discuss the client's preferences for determining a repositioning schedule: While respecting the client’s preferences is important, repositioning must follow clinical guidelines (e.g., every 2 hours) to prevent complications like pressure injuries, regardless of patient preference.
C. Reposition the client without the use of assistive devices: Stroke patients often have limited mobility and muscle weakness. Assistive devices such as slide sheets or lifts are necessary to protect the client's safety and prevent strain or injury to caregivers.
D. Raise the side rails on both sides of the client's bed during resting: Raising both side rails may be considered a restraint and can increase the risk of injury if the client attempts to climb over them. Use of side rails should be based on facility policy and individual client needs.