A nurse is caring for a client who has a new colostomy. The client tells the nurse, "I don't want anyone to see me with this bag." Which of the following responses should the nurse make?

A. The Sims position is lying on the left side with the right knee and thigh drawn up with the left arm placed along the back. This position is typically used for rectal examinations and enemas, not for administering nasal drops.
B. The prone position is lying face down. This position is not suitable for administering nasal drops as it can be uncomfortable and may obstruct proper administration.
C. The supine position is lying flat on the back with the face upward. This position is ideal for administering nasal drops as it allows for easy access to the nostrils and facilitates proper instillation of the medication.
D. The orthopneic position is sitting upright and leaning forward, often with the arms supported on a table or pillows. This position is sometimes used by patients with respiratory distress but is not typically recommended for administering nasal drops.

A. Ask the client whether they have advance directives: Directly asking the client ensures that the nurse obtains accurate and up-to-date information regarding the client's advance directives.
B. Refer to the client's identification card for their advance directives status: While some clients may carry identification cards indicating their advance directives status, relying solely on this information may not be comprehensive or up-to-date.
C. Verify the client's advance directives with their health care surrogate: This step may be necessary if the client is incapacitated or unable to communicate, but it should not replace direct communication with the client.
D. Check for a written do-not-resuscitate prescription in the client's medical record: While checking the medical record is important, advance directives may include more comprehensive instructions beyond do-not-resuscitate orders, so direct communication with the client is essential.