A nurse is planning care for a client following gastric bypass surgery. The nurse should include which of the following dietary instructions when preparing the client for discharge?

- A) Hyperreflexia is a common symptom of opioid withdrawal, as the nervous system reacts to the absence of the drug. Patients may experience increased reflex actions and muscle spasms due to the sudden change in opioid levels.
- B) Meiosis, or pupil constriction, is not typically a withdrawal symptom; it is more commonly associated with opioid use. During withdrawal, pupils are likely to dilate rather than constrict.
- C) Euphoria is a feeling of intense happiness or excitement, which is often experienced after taking opioids. During withdrawal, individuals are more likely to experience dysphoria, which is a state of unease or dissatisfaction.
- D) Hypothermia is not a recognized symptom of opioid withdrawal. Instead, individuals may experience fever or chills as the body adjusts to the lack of opioids.

A. Dependent edema may occur in some cases of pericarditis but is not typically a priority finding compared to chest pain, which can indicate cardiac compromise.

B. A pericardial friction rub is a classic finding in pericarditis but is not necessarily the priority over the chest pain, which requires immediate attention.

C. A paradoxical pulse (pulse amplitude decreasing during inspiration) can occur in pericarditis but is not typically as concerning as substernal chest pain.

D. Substernal chest pain is a common and significant symptom of pericarditis, and assessing and managing the pain is a priority to ensure adequate cardiac function and alleviate discomfort.