A nurse is reinforcing teaching about smoking cessation with a client who has chronic bronchitis and has smoked two packs of cigarettes per day for 30 years. Which of the following client statements indicates an understanding of the teaching?

A. Keep initial pressure dressing in place for 1 week after surgery: The initial post-amputation dressing is usually removed or changed within 24–48 hours under surgical guidance to monitor for bleeding, infection, and proper healing. Leaving it for a full week can increase the risk of complications.

B. Leave the prosthesis in place when going to bed: Prostheses should be removed at night to allow the residual limb to rest, prevent skin breakdown, and reduce pressure-related injuries. Continuous wear can compromise skin integrity and comfort.

C. Avoid extension of the hips when lying down: After an above-the-knee amputation, clients are encouraged to extend the hips periodically to prevent flexion contractures. Avoiding hip extension could contribute to joint stiffness and functional limitations.

D. Clean the prosthesis using a damp, soapy cloth: Proper cleaning of the prosthesis with a damp, mild-soap cloth helps maintain hygiene, prevents odor and bacterial growth, and preserves the integrity of the device. Regular cleaning is essential for long-term prosthesis use and skin health.

A. Apply light pressure to the inner canthus just after instilling the eye drops: Applying gentle pressure to the nasolacrimal duct (punctal occlusion) prevents the medication from draining into the nasopharynx, reducing systemic absorption. This technique limits the drug’s entry into the bloodstream while maximizing local therapeutic effect in the eye.

B. Wipe the eye from the inner to the outer canthus with a sterile saline-moistened cotton ball: Wiping the eye from inner to outer canthus helps remove discharge and prevent contamination of the conjunctival sac, but it does not reduce systemic absorption of ophthalmic medications.

C. Administer the medication drops directly into the lower conjunctival sac of each eye: Placing drops in the lower conjunctival sac is standard technique for ocular administration, ensuring proper drug delivery. However, this alone does not prevent systemic absorption through the nasolacrimal duct.

D. Wait 5 min after instillation before instilling the drops in the other eye: Allowing time between eye drops prevents dilution or washout between medications in different eyes, but it does not affect systemic absorption from the nasolacrimal duct.