A nurse is reviewing the health histories of a group of clients. Which of the following findings should the nurse identify as an indication that a client is at an increased risk for urinary tract infections (UTIs)?

Rationale:

• Place the client on bedrest: Bedrest is necessary after PCI to reduce the risk of bleeding at the catheter insertion site, typically in the femoral artery. The client must remain flat with the leg extended for several hours to allow vessel healing.
• Administer vitamin K: Vitamin K is not routinely given after PCI. It is used to reverse warfarin-induced anticoagulation, not to manage post-procedure care in stable clients unless there is a specific bleeding disorder or elevated INR.
• Check pedal pulses: Assessing distal circulation is essential to monitor for complications like arterial occlusion or hematoma formation. Diminished pulses may indicate compromised blood flow due to thrombus or arterial damage.
• Apply pressure to the insertion site: Manual pressure is applied immediately after sheath removal to prevent bleeding. Continuous monitoring of the site for swelling, bleeding, or hematoma is a standard post-PCI nursing responsibility.
• Elevate the operative leg: Elevating the leg can increase the risk of bleeding by disturbing the clot at the insertion site. The leg should remain flat and immobilized to promote hemostasis and prevent complications.

Rationale:
A. "If I can keep my HbA1c less than 6.5% (less than 7%), I will be cured of diabetes.": Maintaining an HbA1c below 7% is important for managing type 1 diabetes and reducing complications, but it does not eliminate the disease. Type 1 diabetes is a lifelong condition due to permanent loss of insulin production.

B. "I will check my blood sugar level before exercising.": Blood glucose monitoring before physical activity is essential to prevent hypoglycemia. Exercise lowers blood sugar levels, and clients with type 1 diabetes must assess their levels beforehand to determine if carbohydrate intake or insulin adjustment is needed.

C. "I should have my eyes checked every 2 years.": Clients with type 1 diabetes should have a comprehensive dilated eye exam annually, not every two years, to monitor for diabetic retinopathy, a common microvascular complication.

D. "I should soak my feet daily in warm, soapy water.": Soaking the feet is not recommended because it can lead to skin maceration and increase the risk of infection. Gentle washing and thorough drying—especially between the toes—are safer practices for foot care.