During a client assessment, you noted edema of the left arm. Which of the following subjective data should you collect from the client?

Choice A reason: Using an interpreter enhances client satisfaction by ensuring clear communication, respecting language needs, and fostering trust. This improves patient engagement and care quality, critical for positive healthcare experiences. Accurate language support prevents misunderstandings, ensuring clients feel heard and valued, especially in diverse populations with language barriers.

Choice B reason: Interpreters increase initial costs due to service fees, not decrease them. The focus is on communication accuracy and satisfaction, not cost reduction. Assuming cost savings misaligns with interpreter use, risking neglect of language needs, which could lead to errors or dissatisfaction in patients with limited English proficiency.

Choice C reason: Interpreters increase communication accuracy by bridging language gaps, ensuring precise health history collection and reducing errors in diagnosis or treatment. This is critical for safe, effective care in non-English-speaking patients, preventing misinterpretations that could compromise health outcomes and patient safety in clinical settings.

Choice D reason: While interpreters may indirectly support self-esteem by respecting language needs, this is not a primary reason for their use. Accuracy and satisfaction are key. Assuming self-esteem is the focus risks prioritizing emotional over practical needs, potentially neglecting communication accuracy critical for effective health history and care planning.

Choice A reason: Urinary retention, the inability to void, is caused by bladder or prostate issues, not dietary fiber intake. Fiber affects gastrointestinal motility, not urinary function. High-fiber diets promote bowel regularity but have no direct impact on bladder emptying, making this choice incorrect.

Choice B reason: High-fiber diets prevent constipation by adding bulk to stool and promoting peristalsis, facilitating regular bowel movements. Fiber absorbs water, softening stool and reducing straining, which is critical for patients with poor nutrition, like Mr. Green, making this the correct choice for dietary intervention.

Choice C reason: Stress incontinence, urine leakage during physical stress, results from weakened pelvic muscles or sphincter dysfunction, not dietary factors. Fiber influences bowel health, not bladder control, so this choice is unrelated to the preventive benefits of a high-fiber diet in gastrointestinal function.

Choice D reason: Hiatal hernia, where the stomach protrudes through the diaphragm, is linked to anatomical or pressure factors, not fiber intake. Fiber supports bowel regularity but does not address esophageal or diaphragmatic issues, making this choice irrelevant to the benefits of high-fiber diets.