A client has undergone a transverse rectus abdominis myocutaneous (TRAM) flap procedure for breast reconstruction immediately following a mastectomy. Which of the following would be most appropriate to include in the client’s postoperative plan of care?

A. Inspecting the breast site for expected mottling

B. Encouraging coughing and deep breathing exercises

C. Maintaining the client in the supine position

D. Monitoring the single incisional site at the breast