A nurse is teaching a client who has venous insufficiency due to deep-vein thrombosis. Which of the following Instructions should the nurse include in the teaching?

A) Teach the client to void over a urine strainer: After lithotripsy, clients are often advised to void over a strainer to catch any small stone fragments that may pass. This helps in monitoring the passage of stone fragments and ensures that any remaining stones can be analyzed for further management.

B) Administer oxybutynin to the client twice per day: Oxybutynin is an anticholinergic medication used to treat bladder spasms. It is not routinely used after lithotripsy unless specifically prescribed for bladder spasms, which are not a common postoperative concern for this procedure.

C) Encourage frequent ambulation for the client: Frequent ambulation is beneficial after lithotripsy as it helps promote overall recovery, reduces the risk of complications like deep vein thrombosis, and can facilitate the passage of stone fragments. Encouraging movement is an essential aspect of postoperative care.

D) Check the client's urine for ketones three times per day: Monitoring for ketones is not typically required following lithotripsy unless there is a specific concern about diabetic ketoacidosis or another condition that warrants ketone monitoring. It is not a standard intervention for postoperative care after lithotripsy.

E) Instruct the client to drink 3 L of fluid per day: Increasing fluid intake is crucial after lithotripsy to help flush out any remaining stone fragments and to prevent new stone formation. Drinking 3 liters of fluid per day is generally recommended to maintain adequate hydration and support the urinary system.

A) "I can add lean turkey to a salad.": Lean turkey is a good source of heme iron, which is more easily absorbed by the body compared to non-heme iron found in plant-based sources. Including iron-rich foods like lean turkey in the diet helps address iron-deficiency anemia effectively.

B) "I should choose apples over strawberries.": Apples are not particularly high in iron compared to strawberries. While apples provide some nutrients, strawberries contain more vitamin C, which enhances iron absorption from other foods.

C) "I can take an iron supplement with milk to enhance the effect.": Milk and other dairy products can inhibit iron absorption due to their calcium content. It is recommended to take iron supplements with vitamin C-rich beverages like orange juice to enhance absorption.

D) "I should consume coffee or tea with my meals.": Coffee and tea contain compounds like polyphenols that can inhibit iron absorption when consumed with meals. It's better to avoid these beverages around meal times to improve iron absorption.