A nurse is teaching about clomiphene citrate to a client who is experiencing infertility. Which of the following adverse effects should the nurse include?

A: Administering an IV bolus of lactated Ringer's is typically used to correct electrolyte imbalances or as a volume expander in the case of blood loss. In peripartum cardiomyopathy, fluid overload should be avoided as it can exacerbate heart failure symptoms.
B: Misoprostol is used to prevent or treat postpartum hemorrhage, but it is not directly related to the management of peripartum cardiomyopathy.

C. Assess blood pressure twice daily:
While monitoring blood pressure is important for overall cardiovascular management, assessing it only twice daily is insufficient for a client with peripartum cardiomyopathy. This condition requires frequent and comprehensive monitoring of vital signs, fluid balance, and cardiac function to prevent complications.

D. Restrict daily oral fluid intake:
Restricting fluid intake is a key intervention in managing peripartum cardiomyopathy because it helps to prevent fluid overload, which could exacerbate heart failure. Clients with this condition often experience reduced cardiac output, and limiting fluids can reduce the strain on the heart and improve overall management of symptoms

Rationale:

A. "When was the last time you ate meat?": This question is not relevant for a client who adheres to a vegan diet, as they do not consume meat.

B. "Have you considered eating shellfish?": This question is not appropriate for a client who follows a vegan diet, as shellfish is not part of a vegan diet.

C. "How much protein do you eat in a day?":

Correct answer. Protein intake is an important consideration for individuals following a vegan diet, as they may need to ensure they are obtaining adequate protein from plant-based sources.

D. "Are you taking a Vitamin C supplement?": While assessing vitamin intake is important, protein intake is particularly relevant for a client following a vegan diet, as certain plant-based protein sources may be lower in certain essential amino acids compared to animal-based protein sources.