A nurse is providing discharge teaching for a client who has iron deficiency anemia. Which of the following information should the nurse include?

A) Using a syringe to give fluids to a client at risk for dysphagia is not recommended. This method can increase the risk of aspiration, especially if the client has difficulty swallowing. It's essential to assess the client's ability to swallow safely and provide appropriate interventions to minimize the risk of aspiration.

B) Instructing the client to swallow with their head tilted back is not appropriate for managing dysphagia. This technique can lead to aspiration because it interferes with the normal swallowing process and may cause fluids or food to enter the airway. The head should be in a neutral position or slightly flexed forward to facilitate safe swallowing.

C) Elevating the head of the client's bed is a crucial intervention for managing dysphagia and reducing the risk of aspiration. Raising the head of the bed to a semi-Fowler's or high-Fowler's position helps prevent regurgitation of food or fluids into the airway during swallowing. This position promotes better clearance of the esophagus and reduces the likelihood of aspiration pneumonia.

D) Instructing the client to chew on the left side of their mouth is not a specific intervention for managing dysphagia. While some techniques, such as altering food consistency or positioning, may be recommended depending on the individual's swallowing difficulties, chewing on a specific side of the mouth does not address the underlying issue of dysphagia and may not be effective in preventing aspiration.

A) "I'll make sure his diaper is loose in the front":

This statement indicates understanding because ensuring a loose diaper helps prevent irritation and discomfort to the healing circumcision site. Tight diapers can rub against the area and cause irritation or disrupt the healing process.

B) "I'll apply petroleum jelly to his penis with diaper changes":

While applying petroleum jelly to the penis with diaper changes is a common practice for circumcision care, it is not recommended for the Plastibell technique. Using petroleum jelly can interfere with the plastic ring and may prevent it from falling off naturally.

C) "I'll expect the plastic ring to fall off by itself within a week":

This statement indicates understanding because with the Plastibell technique, the plastic ring is left in place until it falls off on its own, typically within a week after the procedure. It is essential for the client to be aware of this expected outcome.

D) "I'll call the doctor if I see any bleeding":

This statement indicates understanding because it shows recognition of the potential complication of bleeding post-circumcision. While some minor bleeding may occur initially, excessive bleeding should be reported to the doctor promptly for further evaluation and management.

E) "I'll wash his penis with warm water and mild soap each day":

While keeping the area clean with warm water and mild soap is generally recommended for circumcision care, with the Plastibell technique, it is typically advised to avoid washing the area directly until the plastic ring falls off. Direct washing may interfere with the healing process or disrupt the plastic ring. Therefore, this statement does not indicate understanding of circumcision care with the Plastibell technique.