A nurse is teaching a client who has atrial fibrillation and is to start taking dabigatran.

Which of the following statements by the client indicates an understanding of the teaching?

The correct answer is choice D. Evaluate the client’s ability to help with repositioning.

This is because the nurse should assess the client’s level of mobility, strength, and coordination before repositioning them to prevent injury and promote comfort.

The nurse should also use appropriate assistive devices, such as a drawsheet, a trapeze bar, or a mechanical lift, to facilitate safe repositioning and reduce the risk of skin breakdown and pressure ulcers.

Choice A is wrong because raising the side rails on both sides of the client’s bed during repositioning can increase the risk of falls and entrapment.

The nurse should only raise the side rail on the opposite side of the bed from where they are working and lower it when they are done.

Choice B is wrong because repositioning the client without assistive devices can cause strain and injury to both the nurse and the client.

The nurse should use assistive devices that are appropriate for the client’s condition and weight.

Choice C is wrong because discussing the client’s preferences for determining a repositioning schedule is not a priority action when preparing to reposition a client who had a stroke.

The nurse should follow the facility’s protocol for repositioning frequency, which is usually every 2 hours, and adjust it according to the client’s needs and comfort.

The nurse should also involve the client in the care plan and respect their preferences whenever possible.

B) I can visit my nephew who has chickenpox 5 days after the sores have crusted.

This statement indicates an understanding of infection prevention because it demonstrates knowledge about the contagious period of chickenpox. Visiting someone with chickenpox after the sores have crusted is a safe practice, as the person is no longer contagious.

The other options represent misconceptions about infection prevention:

A) Taking antibiotics for a viral infection is not effective, as antibiotics are used to treat bacterial infections, not viruses.

C) This statement is identical to option B and is incorrect.

D) Cleaning a cat's litter box during pregnancy is generally not recommended due to the risk of toxoplasmosis, a parasitic infection that can be transmitted through cat feces. Pregnant individuals are advised to have someone else handle cat litter or to use gloves and wash their hands thoroughly if they must do it themselves.