The nurse is conducting discharge instruction for a postpartum client. Which client response indicates accurate understanding of when to notify the healthcare provider?
1. "If I am having trouble getting the baby to latch on, I should call my doctor."
2. "If I continue to have pain after taking my prescribed analgesic, I should call my doctor."
3. "If I saturate one pad every 8 hours, I should call my doctor."
4. "If I don't have a bowel movement within 24 hours of going home, I should call my doctor."
2
Explanation:
1. Issues with getting the baby to latch on during breastfeeding should be reported but not to the doctor. The client would be instructed to contact a lactation consultant. This statement indicates the need for further education.
2. Pain that is not alleviated by the prescribed analgesic is cause for concern and would require healthcare provider notification. This statement indicates accurate understanding of the information presented.
3. Saturation of one peripad every hour, not every 8 hours, would indicate the need to contact the healthcare provider. This statement indicates the need for further education.
4. The return of bowel function varies with every woman after childbirth. Not having a bowel movement within 24 hours of discharge is not an indication of a problem and would not require the client to contact the healthcare provider. This statement indicates the need for further education.
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