The nurse is preparing the client for discharge.

Exhibits

For each potential discharge instruction, click to specify if the potential prescription is anticipated or contraindicated for the client.

A. Resuming a regular diet 3 days after the procedure may not be appropriate, as dietary restrictions may be necessary depending on the procedure and the individual's condition.
B. Allowing the adolescent to take a shower 1 day after the procedure is appropriate, as it promotes cleanliness and comfort without interfering with the healing process.
C. Beginning exercise 2 days after the procedure may not be advisable, as the adolescent may need time for rest and recovery, depending on the extent of the procedure and any associated complications.
D. Returning to school 1 week after the procedure may vary depending on the individual's recovery and any restrictions recommended by the healthcare provider.

- Choice A Rationale: The epidural PCA (patient-controlled analgesia) is designed with safety mechanisms to ensure that the patient cannot administer a dose that exceeds the prescribed safe limit. This is crucial to prevent potential overdose and complications associated with high doses of analgesics.
- Choice B Rationale: While it is true that some patients may experience reduced mobility in their legs during epidural analgesia, this is not an absolute and can vary based on the dosage and individual response. Therefore, it is not a guaranteed effect and should not be presented as such.
- Choice C Rationale: There is no conclusive evidence to suggest that epidural pain control methods shorten the second stage of labor. In fact, some studies indicate that it may actually prolong it. The primary purpose of epidural PCA is pain management, not altering the labor process timeline.
- Choice D Rationale: Postpartum headaches can be a side effect of epidural anesthesia, but they are not common to all cases. It is associated with a complication known as a post-dural puncture headache, which occurs in a minority of cases. Hence, it should not be stated as a common outcome.