A nurse is flushing a client’s intermittent infusion device. The client states, “Why do you have to do that if you are not giving me medicine?” Which of the following statements should the nurse make?

Choice A reason: Advancing the walker and taking a step towards it is the correct technique, ensuring stability by moving the walker first, then stepping. This maintains balance and prevents falls, aligning with safe walker use protocols, so no intervention is needed for this action.
Choice B reason: Taking multiple steps while holding the walker compromises stability, as the walker must be repositioned after each step to ensure support. This increases fall risk, requiring the charge nurse to intervene to correct the technique and ensure the client’s safety during ambulation.
Choice C reason: Grasping the walker by the hand grips on the upper bars is correct, as it provides optimal control and balance. This standard technique supports safe mobility, and no intervention is required, as it adheres to proper walker use guidelines.
Choice D reason: Lifting the walker as it is moved forward is acceptable for lightweight or rolling walkers, depending on the client’s strength and model. While sliding is preferred for standard walkers, lifting is not inherently unsafe, so intervention is unnecessary unless improper execution is observed.

Choice A reason: Assigning a health care surrogate does not always require legal consultation, as forms are often available without attorney involvement. While legal advice can clarify complex cases, it is not mandatory, making this statement misleading and incorrect for general advance directive education.
Choice B reason: A health care surrogate makes decisions when the client is incapacitated, as specified in advance directives. This ensures the client’s wishes are followed, aligning with the purpose of surrogacy in healthcare planning, making it accurate and essential information for the teaching session.
Choice C reason: Advance directives can be changed at any time by a competent client, provided the changes are documented and communicated. Stating they cannot be changed is incorrect, as flexibility is a key feature, making this misinformation inappropriate for teaching.
Choice D reason: Advance directives are generally honored across states, though specific requirements may vary. Stating they are only valid in one state is overly restrictive and incorrect, as reciprocity is common, making this an inaccurate point for advance directive education.