A nurse is providing discharge teaching to a client who has gastroesophageal reflux disease (GERD). Which of the following statements by the client indicates an understanding of the teaching?

Choice A reason:

Respiratory rate is the priority assessment before administering morphine because morphine can cause respiratory depression, a serious side effect. Monitoring the client's respiratory status ensures that the morphine does not significantly depress their breathing, which could lead to life-threatening hypoventilation.

Choice B reason:

While monitoring urine output is important for overall patient care, it is not the immediate priority before morphine administration. Morphine's primary concern is its impact on the respiratory system rather than renal function.

Choice C reason:

Assessing bowel sounds is relevant for managing potential constipation due to morphine use but is not the immediate priority before administration. Respiratory rate takes precedence because of the risk of respiratory depression.

Choice D reason:

Pupil reaction can indicate narcotic effect and neurological status but is not the immediate priority over respiratory rate. Ensuring the client’s respiratory status is stable is the most crucial step before administering morphine.

Choice A reason: Keeping the client's skin moist is incorrect because it can increase the risk of skin breakdown and pressure ulcers. The skin should be kept clean and dry to maintain its integrity and prevent complications.

Choice B reason: While assessing the client's skin for redness is an important part of regular skin assessments, it alone does not encompass a proactive approach to preventing pressure ulcers. Continuous monitoring without active intervention is insufficient for comprehensive care.

Choice C reason: This is the correct answer. Repositioning the client every 2 hours is a standard practice to prevent pressure ulcers by relieving pressure on vulnerable areas of the skin. Regular repositioning helps to maintain circulation and prevent skin breakdown in clients confined to bed.

Choice D reason: Massaging the client's red bony prominences is incorrect because it can cause additional damage to already compromised skin areas. Gentle handling and repositioning are more appropriate to manage and prevent skin issues in bed-confined clients.