The practical nurse (PN) is preparing a client for discharge who receives a prescription for oral prednisone to treat a severe allergic reaction. Which teaching about medication administration should the PN reinforce?

The action that the practical nurse (PN) should take in this situation is to complete an advance directive form and place it in the client's medical record. Advance directives are legal documents that outline an individual's healthcare preferences and treatment decisions in the event that they become unable to communicate or make decisions for themselves. By completing an advance directive, the client's wishes regarding life-saving measures can be documented and honored.
A. Placing a "Do Not Resuscitate" sign outside the client's door and at the bedside is not sufficient documentation of the client's wishes. While it may serve as a visual reminder to healthcare providers, it is important to have the client's preferences clearly documented in their medical records through a formal advance directive.
B. Reassuring the client that life-saving measures will not be taken without consent is important for establishing trust and communication. However, it is essential to have the client's preferences formally documented to ensure that their wishes are respected and followed.
D. Notifying the client's healthcare provider of the client's wishes is an important step, but it should be done after completing the advance directive form. The advance directive will provide clear instructions to the healthcare team regarding the client's preferences, and the healthcare provider can review and acknowledge these wishes accordingly.

- A playpen is a portable enclosure that provides a confined space for a child to play in. It can be useful for keeping a child safe and supervised when the caregiver is busy or needs a break, but it should not be used as a substitute for active play or interaction with the caregiver or others.
- A 2-year-old child is in the developmental stage of toddlerhood, which is characterized by rapid physical, cognitive, social, and emotional growth. Toddlers are curious and eager to learn about the world around them, and they need opportunities to explore, experiment, and manipulate objects and materials. They also need stimulation, guidance, and feedback from their caregivers and peers to develop their language, problem-solving, and social skills.
- Keeping a 2-year-old child in a playpen for long periods of time or to prevent them from getting dirty can have negative effects on their development and well-being. It can limit their physical activity, creativity, and independence, and it can cause boredom, frustration, or resentment . It can also interfere with their attachment and bonding with their caregiver, as well as their self-esteem and self-image.
- Therefore, the practical nurse (PN) should use the statement "Children need time to actively explore their environment" in responding to this concern about using a playpen. This statement reflects the developmental needs and rights of the child, and it encourages the caregiver to provide a more stimulating and supportive environment for the child. It also implies that getting dirty is not a problem, but rather a natural and healthy part of play and learning.

- Therefore, option D is the correct answer, while options A, B, and C are incorrect. Option A is incorrect because it is judgmental and may offend or discourage the caregiver.