56. The practical nurse (PN) is caring for a client who has a tracheostomy tube. After donning sterile gloves, in which sequence should the PN should implement these interventions? (Arrange from the first action on top to last on the bottom.)

The practical nurse (PN) plays a crucial role in obtaining consent for an invasive examination. The PN should explain the examination to the client, ensuring that the client has a clear understanding of the procedure, its purpose, and any associated risks or benefits. After providing this information, the PN can ask the client to sign the consent form voluntarily, indicating their agreement to undergo the examination.
A. Checking the medical record for the correct signed consent form prior to the examination is a responsibility that typically falls on the healthcare provider who will be performing the procedure, such as a physician or advanced practice nurse. The PN may assist in verifying the presence of a signed consent form, but their primary responsibility lies in explaining the examination to the client and obtaining their consent.
C. While involving family members in the consent process can be important for communication and support, the consent form should be signed by the individual who will undergo the examination. Obtaining the signature of a family member alone is not sufficient for informed consent.
D. Asking if the client understands the exam and the reason for signing the consent form is a crucial step in the consent process. The PN should ensure that the client has a clear understanding and address any questions or concerns they may have before proceeding with obtaining the consent form.

The practical nurse (PN) should provide the following instructions to the unlicensed assistive personnel (UAP) for cleaning the hearing aid of an older adult resident:

A- Keep the battery door closed during storage: his is incorrect because the battery door should be kept open when the hearing aid is not in use. Keeping it open helps prevent moisture buildup inside the device.

B- Remove ear wax from the device's surface: Earwax accumulation can affect the performance of the hearing aid. Instructing the UAP to clean the device's surface and remove any visible ear wax will help maintain optimal functioning.

C- Verify that the device is labeled with the client's identification: Labeling the device with the client's identification is crucial to ensure that it is returned to the correct person. This step helps prevent mix-ups or misplacements of hearing aids among residents.

D- This is not appropriate as it can expose the device to heat and sunlight, which could damage it.

E- Observe and report any ear drainage after removing the device: After removing the hearing aid, the UAP should observe the client's ears for any signs of drainage or abnormal discharge. If ear drainage is noticed, it should be reported to the PN or appropriate healthcare provider for further assessment and management.