A nurse is teaching a newly licensed nurse about contact precautions. The nurse should include that a client who has which of the following diseases requires contact precautions?

A. Mild edema to the toes: Mild swelling is a common and expected finding after a cast application due to trauma and immobility. It should be monitored but is not an immediate concern unless it progresses or is accompanied by other symptoms.

B. Ecchymosis at the base of the toes: Bruising near the injury site is also expected following a fracture and cast application. While it should be documented, it does not typically indicate a complication unless associated with worsening symptoms.

C. Numbness in the toes: Numbness may signal impaired nerve function or compromised circulation due to increased pressure from the cast, raising concern for compartment syndrome. This requires immediate evaluation to prevent permanent damage.

D. Pain at the fracture site with movement: Some pain is normal after a fracture and casting, particularly with movement. However, it becomes more concerning if it is severe, unrelieved by medication, or accompanied by signs of neurovascular compromise.

A. Cover appliance cords with throw rugs:This increases the risk of tripping and falling, especially for a client with vision loss. Rugs can bunch up or cause uneven surfaces that are hazardous in the home environment, particularly for older adults.

B. Rearrange furniture to clear walkways:Sudden changes in the environment can be disorienting for clients with visual impairment. They often rely on the familiarity of their surroundings for safe navigation. It's safer to keep the layout consistent rather than make abrupt rearrangements.

C. Visit the client once per month to assess medication usage:Monthly visits are too infrequent for an older adult who may have difficulty managing multiple medications and vision loss. More frequent monitoring is necessary to ensure medication adherence.

D. Use container lids of different shapes to indicate times of administration:Tactile cues such as differently shaped lids help them identify the correct medication by feel, promoting independence and accurate self-administration.