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

Placing the cap of a sterile solution on a clean surface with the inside facing down can contaminate the cap. It should be placed with the inside facing up to maintain sterility.

Choice B rationale

Placing a sterile instrument within 1.3 cm (0.5 in) of the edge of the sterile field risks contamination, as the edges are considered non-sterile. Instruments should be placed well within the sterile field.

Choice C rationale

Opening the top flap of the sterile tray package away from their body ensures that the sterile contents are not contaminated by the nurse's clothing or body, maintaining the sterility of the field.

Choice D rationale

Dropping sterile objects onto the field from a height of 5 cm (2 in) can cause contamination due to the potential for the objects to fall outside the sterile field. Objects should be placed gently onto the field without dropping them.