A nurse is providing discharge teaching to a client who has GERD.
Which of the following information should the nurse include?

Choice A rationale: Residual limb bandages should be rewrapped multiple times daily to maintain compression, but a circular pattern is contraindicated. A figure-eight wrapping technique must be used to prevent a tourniquet effect and to properly shape the limb for a future prosthesis.

Choice B rationale: Postoperative clients should be turned at least every 2 hours, not every 4 hours, to prevent pressure injuries and pulmonary complications. Frequent repositioning is a standard nursing intervention for any patient with limited mobility.

Choice C rationale: An overbed trapeze allows the client to use their upper body strength to reposition themselves, lift their hips, and move in bed. This promotes independence, maintains muscle tone, and reduces the risk of skin breakdown from shearing during manual repositioning.

Choice D rationale: While an air mattress can help with pressure redistribution, it is not the primary or most specific intervention for a client 12 hours after an amputation. The focus at this stage is on limb shaping, pain management, and safe mobility.

Choice A rationale

Administering a vasoconstrictor is a potential intervention for shock but it is not the first action. The client's hypotension and tachycardia are indicative of hypovolemic shock due to profuse vomiting, leading to fluid loss. The body's initial compensatory mechanism involves vasoconstriction to maintain blood pressure, so further constriction without addressing the volume deficit can worsen tissue perfusion.

Choice B rationale

The client is exhibiting signs of hypovolemic shock, including a low blood pressure of 86/58 mmHg, a high pulse of 114/min, and a high respiratory rate of 27/min. These are physiological compensations for reduced circulating blood volume. Increasing the intravenous infusion rate directly addresses the primary problem by rapidly replacing lost fluid volume, thereby increasing preload, stroke volume, cardiac output, and ultimately, blood pressure.

Choice C rationale

Elevating the client's feet can temporarily increase venous return to the heart and improve blood pressure. However, this is a passive measure that does not address the underlying fluid deficit causing the hypovolemic shock. It is a helpful adjunctive action but is not the definitive first-line intervention required to correct the circulatory collapse in this scenario.

Choice D rationale

Initiating oxygen therapy is a supportive measure for shock because it helps improve tissue oxygenation, which is compromised due to poor perfusion. While beneficial, it does not correct the root cause of the shock, which is the lack of circulating fluid volume. The most immediate and life-saving intervention is to restore fluid volume to improve cardiac output and blood pressure