The nurse is assisting with the care of a client who had a heart transplant 2 days ago. Which of the following actions would be a priority for the nurse to take?

1. Assisting the client when transferring from the bed to a chair.
2. Encouraging the client to cough and breathe deeply multiple times per hour.
3. Washing hands thoroughly with soap and water before entering the client's room.
4. Applying sequential compression devices to the client's bilateral lower extremities.



Answer :

Final answer:

It is important for the nurse to prioritize assisting the client with mobility, encouraging deep breathing, and maintaining proper hand hygiene post-heart transplant.


Explanation:

Assisting the client when transferring from the bed to a chair would be a priority for the nurse, as post-heart transplant patients may have restrictions and need help with mobility.

Encouraging the client to cough and breathe deeply multiple times per hour is also essential to prevent complications such as pneumonia post-surgery.

Washing hands thoroughly with soap and water before entering the client's room is crucial to prevent infections, especially in immunocompromised patients like those who have undergone a heart transplant.


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