A nurse is providing teaching about the Dietary Approaches to Stop Hypertension (DASH) diet to a client who has hypertension. Which of the following instructions should the nurse include?

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.

A) Wear sterile gloves during a feeding: While hand hygiene is essential when handling enteral feeding equipment, wearing sterile gloves for administering intermittent enteral feedings is not typically necessary. Standard precautions, including handwashing and using clean gloves, are sufficient to prevent infection.

B) Flush the tubing with 15 mL of water after each feeding: Flushing the tubing with water after each feeding helps prevent clogging and ensures that the full dose of the feeding is delivered to the client. It also helps maintain tube patency and reduces the risk of bacterial growth in the tubing.

C) Position the client upright prior to a feeding: Positioning the client upright, typically at a 30 to 45-degree angle, helps prevent aspiration during enteral feedings. This position promotes proper flow of the feeding into the stomach, reduces the risk of reflux, and facilitates digestion. It also helps ensure that the feeding reaches the intended destination and minimizes the risk of complications such as aspiration pneumonia.

D) Chill the feeding prior to administering: Chilling the feeding is not a standard practice for administering intermittent enteral feedings. In fact, administering cold feedings may cause discomfort and gastrointestinal upset in some clients. It is generally recommended to administer enteral feedings at room temperature or slightly warmed to body temperature to enhance tolerance and absorption.