A nurse is reinforcing teaching with a client who has a new ileostomy.
Which of the following statements by the client indicates an understanding of the teaching?

Choice A rationale

Performing breast exams on the first day of the menstrual cycle is not recommended because hormonal fluctuations can affect breast tissue.

Choice B rationale

Breast self-examinations should be performed monthly, not every other month, to detect any changes in breast tissue.

Choice C rationale

Skin dimpling on the breast can be a sign of breast cancer and should not be considered common. It requires medical evaluation.

Choice D rationale

It is normal for one breast to be slightly larger than the other, and this variation is common among women.

Choice A rationale

Limiting fluid intake to 1500 mL/day is not recommended for bowel training. Adequate fluid intake is important for maintaining regular bowel movements and preventing constipation. Limiting fluids can worsen constipation and interfere with bowel training.

Choice B rationale

Assisting the client to the restroom 30 minutes after meals takes advantage of the gastrocolic reflex, which stimulates bowel movements following food intake. This helps establish a regular bowel routine and manage fecal incontinence.

Choice C rationale

Limiting physical activity is not advised for bowel continence. Regular physical activity promotes gastrointestinal motility and overall bowel health. Physical inactivity can lead to constipation and negatively impact bowel training efforts.

Choice D rationale

High-fiber foods are important for bowel health as they add bulk to stool and promote regular bowel movements. Limiting intake of high-fiber foods can lead to constipation and is counterproductive to bowel training.