A nurse is planning care for a client who reports insomnia. Which of the following actions should the nurse perform shortly before bedtime?

A. Call the provider to discuss the client's preference with them and their family: While involving the provider and family is important, the first step should be to educate the client about their options for designating a decision-maker.

B. Explain to the client the process of designating another individual to make decisions for them: The nurse should first provide information about how the client can designate a trusted individual to make decisions for them, such as through a durable power of attorney for healthcare. This allows the client to make an informed decision.

C. Ask the client to discuss these preferences with their family first: The nurse should first empower the client by explaining the process of designating a decision-maker. It is crucial to respect the client’s autonomy in making this decision before involving family.

D. Ask the client if they would like their wishes documented in their health care records: Before documenting, the nurse should ensure the client understands the process of assigning a decision-maker. Documentation is important, but the client needs to understand their options first.

A. Use a padded tongue blade to protect the client's tongue while seizing: A tongue blade should not be used during a seizure, as it can cause injury to the client. The client’s airway should be protected by positioning them correctly, not by inserting objects into their mouth.

B. Place the client in a supine position during the seizure: The client should not be placed in a supine position during a seizure due to the risk of aspiration. Instead, the client should be placed on their side to help maintain an open airway and prevent aspiration.

C. Monitor the client's respiratory and cardiac status: During a tonic-clonic seizure, respiratory and cardiac monitoring are crucial. Seizures can lead to decreased oxygenation, irregular heart rhythms, and other complications.

D. Offer the client a cup of juice to drink once the seizure is over: After a seizure, the client may have impaired swallowing reflexes, and offering liquids too soon can cause aspiration. The nurse should assess the client’s ability to swallow before offering fluids.