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

Flexing hips and knees when assisting the client to a standing position provides a stable and balanced stance, reducing the risk of injury to both the nurse and the client. It ensures proper body mechanics and safety during the transfer.

Choice B rationale

Pivoting on the foot farthest from the bed when assisting the client into the chair is incorrect as it can cause instability and increase the risk of falls. It is important to pivot on the foot closest to the bed to maintain a stable center of gravity.

Choice C rationale

Standing on the client's stronger side when moving the client into the chair is not ideal because the nurse should provide support on the weaker side, ensuring the client is balanced and stable during the transfer.

Choice D rationale

Raising the bed to waist level before moving the client is a correct action to ensure proper body mechanics and reduce strain on the nurse's back. However, it is not as critical as ensuring proper support and stability during the transfer process. .