A nurse is caring for an older adult client who has a hearing aid.Which of the following actions should the nurse take when the client reports hearing a whistling sound from the hearing aid?

Choice A rationale

Turning the client on their back during seizures is not recommended as it can obstruct the airway and increase the risk of injury. Positioning on the side is safer to maintain an open airway.

Choice B rationale

Gently restraining the client during seizures can cause injury and is not advisable. It is important to protect the client from harm by clearing the area around them instead.

Choice C rationale

Loosening the client’s clothing during seizures can help ensure they are not restricted and can breathe comfortably. It also reduces the risk of injury from tight or constrictive clothing.

Choice D rationale

Inserting a washcloth or any object into the client’s mouth during seizures is dangerous and can cause choking or damage to the teeth and mouth. The focus should be on ensuring safety without putting objects in the mouth.

Choice A rationale

This statement indicates that the client understands advance directives allow them to make decisions about their care while they are still capable. This reflects the purpose of advance directives, which is to respect and uphold the client’s autonomy and choices regarding their medical care.

Choice B rationale

This statement is incorrect because clients can change their advance directives or living will at any time. The purpose of these documents is to provide flexibility and ensure that the client's current wishes are followed.

Choice C rationale

This statement is incorrect. Once a living will is signed and witnessed or notarized, it becomes legally binding without a waiting period. The delay mentioned here is not a part of the advance directive process.

Choice D rationale

This statement is not accurate. A living will usually includes decisions about life support, and a separate consent form is not typically needed for those decisions. The client’s wishes regarding life support would be documented in the living will itself.