A nurse is reinforcing teaching with a client who has acute glomerulonephritis with edema. Which of the following statements should the nurse make?

Choice A Reason:
Limiting the client's physical activity is not generally recommended as part of bowel training for fecal incontinence. Regular physical activity can actually help with bowel movements by increasing muscle activity in the intestines. It is important for clients to maintain as much normal activity as possible.

Choice B Reason:
Limiting the client's fluid intake to 1500 mL/day is not advisable unless specifically recommended by a healthcare provider for another medical reason. Adequate hydration is essential for normal bowel function, and restricting fluids could exacerbate constipation, which can complicate fecal incontinence.

Choice C Reason:
Instructing the client to limit their intake of high-fiber foods would be counterproductive in managing fecal incontinence. A diet high in fiber can help form bulkier, softer stools, which can be easier to control. Fiber helps to regulate bowel movements, which is beneficial in bowel training programs.

Choice D Reason:
Assisting the client to the restroom 30 minutes after meals takes advantage of the gastrocolic reflex, which is a normal response where the act of eating stimulates movement in the gastrointestinal tract. This can help the client establish a regular pattern of bowel movements, which is a key goal in bowel training for fecal incontinence.

Choice A Reason:
This statement is based on outdated information. Modern pacemakers are designed to withstand interference from microwave ovens, so it is not necessary to avoid them.

Choice B Reason:
Patients with pacemakers should be cautious about MRI scans because they can interfere with the device. However, many modern pacemakers are MRI-compatible, and a patient may undergo an MRI scan under specific conditions and with appropriate medical supervision.

Choice C Reason:
Traveling by plane is generally safe for individuals with pacemakers. Airport security detectors may detect the metal in the pacemaker, but they won't damage it. It's recommended to carry a pacemaker identification card when traveling.

Choice D Reason:
Holding a cell phone against the ear on the opposite side of the pacemaker is a recommended precaution to avoid potential electromagnetic interference. Although the risk is minimal, it is a simple measure to ensure the pacemaker functions properly.