Complete The Assignment Below And Provide Appropriate 901946

Complete The Assignment Below And An Appropriate Answers

1. A client asks the nurse to explain the different types of advance directives. What information should be provided regarding living wills, durable power of attorney, and DNR orders?

2. What are the nurse's responsibilities when delegating tasks?

3. Which action will the nurse perform when conducting a Rinne Test? Occlude one ear and whisper three words. Have the client repeat the three words whispered. Place a vibrating tuning fork firmly against the mastoid bone. Place a vibrating tuning fork on top of the client's head. Straighten the ear canal by pulling the auricle up and back.

4. A bed-bound client needs to be repositioned. What guidelines should the nurse follow to prevent personal injury?

5. A nurse is caring for a client prescribed an Aquathermia pad. What should the nurse monitor this client for during therapy?

6. List the steps for safely administering an ophthalmic medication.

7. A nurse is caring for a client that exhibits signs and symptoms of aspiration during their enteral feeding. What is a priority intervention the nurse should carry out?

8. A nurse is providing discharge information to a client prescribed home oxygen therapy via a nasal cannula. Which of the following should the nurse include in this education? (Select all that apply.)

• A. Apply petroleum jelly around and inside the nares.
• B. Remove the nasal cannula during mealtimes.
• C. Check the position of the cannula frequently.
• D. Report any nasal stuffiness, nausea, or fatigue.
• E. Post "no smoking" signs in a prominent location.

9. A nurse is preparing for a procedure with a client who has a latex allergy. What action should the nurse take regarding this allergy?

Paper For Above instruction

Advance directives are critical components of patient-centered care, enabling individuals to make decisions about their healthcare preferences before they become unable to communicate their wishes. Understanding the different types of advance directives—living wills, durable power of attorney, and DNR orders—is essential for nurses to provide appropriate education and care. Additionally, nurses must be clear about their responsibilities when delegating tasks, performing assessments such as the Rinne Test, and ensuring safety when repositioning clients or administering therapies. Recognizing signs of aspiration during enteral feeding and educating clients on the correct use of home oxygen are also vital aspects of nursing practice. Moreover, preparation for procedures involving clients with latex allergies demands diligent safety measures to prevent allergic reactions.

Understanding Advance Directives: Living Wills, Durable Power of Attorney, and DNR Orders

Advance directives are legal documents enabling clients to specify their healthcare preferences if they become incapacitated. The most common types include living wills, durable power of attorney for healthcare, and do-not-resuscitate (DNR) orders. A living will outlines specific medical treatments the client wishes or refuses, such as life-sustaining measures, and guides healthcare providers in honoring their wishes (Morrison et al., 2018). It becomes effective only when the client is unable to communicate their desires.

The durable power of attorney for healthcare designates a surrogate decision-maker—often a family member or trusted individual—who makes medical decisions on behalf of the patient when they cannot do so themselves. This legal document ensures that someone the patient trusts can advocate for their health preferences (Carter & Weber, 2020).

DNR orders are specific directives not to perform cardiopulmonary resuscitation (CPR) if the client's heart stops or they stop breathing. These orders are typically based on the client's medical condition, prognosis, and personal preferences and must be documented clearly in the medical record (American Heart Association, 2019). Proper understanding of these directives helps nurses respect patient autonomy and provide ethically sound care.

Nurse Responsibilities When Delegating Tasks

Nurses have a duty to delegate appropriately, ensuring patient safety and compliance with regulatory standards. Responsible delegation involves clearly understanding the scope of practice for healthcare assistants or unlicensed personnel and assigning tasks within their competence (ANA, 2011). The nurse must provide clear, concise instructions, supervise the delegated task, and evaluate the outcomes. It is essential to ensure that the delegatee has the necessary knowledge and skills to perform the task safely. Documentation of the delegation process and the client's response is also crucial (Benner et al., 2018). Ultimately, delegation enables efficient team functioning while maintaining the quality of patient care.

Performing a Rinne Test

The Rinne Test assesses a client's hearing by comparing air conduction with bone conduction. The correct procedure involves placing a vibrating tuning fork on the mastoid process (bone conduction) and instructing the client to signal when sound is no longer heard. The nurse then moves the tuning fork near the external auditory canal to compare air conduction with bone conduction. If the client hears the sound better when the tuning fork is near the ear, airway conduction is normal. The nurse should not occlude one ear or perform unrelated steps such as whispering or positioning the tuning fork on the head. Proper technique and interpretation assist in identifying conductive or sensorineural hearing loss.

Guidelines for Repositioning Bed-Bound Clients

Repositioning clients who are bed-bound must be done safely to prevent musculoskeletal injuries to both patients and staff. The nurse should use proper body mechanics, such as bending knees and keeping the back straight, while lifting or turning the client. Using assistive devices like slide sheets or mechanical lifts reduces strain. The nurse should communicate with the client to inform them of the movement, breaking the process into coordinated steps. Maintaining proper alignment and supporting the client's pressure points help prevent skin breakdown and discomfort. Repositioning at regular intervals optimizes circulation and comfort, and involving the client when possible fosters autonomy and cooperation (Yoder-Wise, 2019).

Monitoring Clients During Aquathermia Therapy

Aquathermia pads are used to provide moist heat therapy, promoting vasodilation and pain relief. During therapy, the nurse should monitor the client for signs of adverse reactions, such as skin irritation, burning sensation, or excessive discomfort. The temperature of the pad should be checked regularly to prevent burns, and the duration of therapy should adhere to facility protocols. Assessing the area for redness, blistering, or other skin changes is essential to prevent tissue injury. The nurse must also ensure the client maintains a safe position and is comfortable during treatment, repositioning as needed.

Administration of Ophthalmic Medications: Step-by-Step

Administering eye medications safely involves several steps. First, wash hands thoroughly and don gloves to prevent infection. Next, confirm the medication order and verify the correct drug, dose, and route. Before instillation, ask the client to look upward and gently pull down the lower eyelid to expose the conjunctival sac. Instill the prescribed number of drops or ointment into the sac without touching the cornea or eyelid to avoid irritation or contamination. After administering, instruct the client to close their eyes gently and avoid blinking immediately to allow absorption. Applying a clean tissue to gently wipe away excess medication and instructing the client to remain with their eyes closed for a few minutes enhances absorption and reduces systemic absorption (Holland, 2018).

Interventions for Aspiration During Enteral Feeding

Signs of aspiration during enteral feeding include coughing, choking, gurgling, or respiratory distress. The priority intervention is to stop the feeding immediately to prevent further aspiration. Suctioning the airway if necessary helps clear secretions. The nurse should elevate the head of the bed to at least 30-45 degrees to reduce aspiration risk, monitor the client's oxygen saturation, and assess respiratory status. After stabilizing the airway, the nurse needs to evaluate the feeding technique, check for regulatory compliance, and notify the healthcare provider if aspiration episodes recur. Continuous assessment and adherence to feeding protocols are vital to prevent complications and ensure client safety.

Discharge Education for Home Oxygen Therapy

Clients prescribed home oxygen therapy need comprehensive education to ensure safety and effective use. The nurse should advise against applying petroleum jelly around the nares because it can be a fire hazard; instead, water-based lubricants are safer. The client should be instructed to remove the nasal cannula during meals to prevent choking and discomfort. Regularly checking the position of the cannula ensures optimal oxygen delivery. Clients should report symptoms such as nasal congestion, nausea, or fatigue, which may indicate issues with oxygen delivery or device malfunction. Finally, posting "no smoking" signs is essential to prevent fire risks associated with oxygen use. Also, ensuring the client understands device maintenance and safety precautions facilitates adherence and safety.

Managing Latex Allergy in Clinical Procedures

When caring for a client with a latex allergy, the nurse must implement strict safety measures. This includes using latex-free gloves and equipment, verifying all supplies are free of latex, and ensuring the environment is safe from latex-containing products. The nurse should inform the entire healthcare team of the allergy and prepare appropriate alternatives. Additionally, allergy documentation in the client's medical record and clear signage helps prevent accidental exposure. In emergency situations, having medications such as antihistamines and epinephrine readily available is crucial to manage reactions promptly. Educating the client about symptoms of allergic reactions and avoidance strategies empowers them to participate actively in their safety (Simons et al., 2018).

References

• American Heart Association. (2019). Recommendations for Resuscitation and Emergency Cardiovascular Care. Circulation, 140(11), e651–e680.
• American Nurses Association. (2011). Scope and Standards of Practice for Nursing Delegation. ANA Publications.
• Benner, P., Tanner, C., & Chesla, C. (2018). Expertise in Nursing Practice: Caring, Clinical Judgment & Ethics. Springer Publishing.
• Carter, M., & Weber, B. (2020). Legal Aspects of Healthcare. Elsevier.
• Holland, J. (2018). Clinical Procedures in Primary Eye Care. Elsevier.
• Morrison, R., Johnson, K., & Smith, L. (2018). Legal and Ethical Aspects of Advance Care Planning. Journal of Palliative Care, 34(2), 78–84.
• Simons, F. E., Ardusso, L. R. F., Bilo, M. B., et al. (2018). World Allergy Organization Anaphylaxis Guidelines: 2013 Update. World Allergy Organization Journal, 6(3), 1–23.
• Yoder-Wise, P. (2019). Leading & Managing in Nursing. Mosby.