A nurse is reinforcing discharge teaching with the parent of a newborn. Which of the following statements by the parent indicates an understanding of the teaching?

Choice A Reason:

"I should discuss this document with my family after I sign it. “This statement is accurate because it reflects the importance of discussing the advance directive document and the client's preferences with their family and healthcare providers after it has been signed. Advance directives are not set in stone, and clients can change their preferences or modify their advance directives if needed. It is essential for healthcare providers and family members to be aware of the client's wishes regarding medical decisions in case they are unable to communicate or make decisions in the future.

Choice B Reason:

"An attorney will need to notarize this document for it to be valid." While it's true that some legal documents may require notarization, advance directives typically don't need to be notarized to be valid. They often require witnesses rather than notarization.

Choice C Reason:

"I am not allowed to change my mind once I sign this document. “This statement is not accurate. Clients can change their minds and modify their advance directives at any time, as long as they have the capacity to do so. Advance directives are intended to reflect a person's current healthcare preferences.

Choice D Reason:

"My partner needs to be present when I sign this document." While it's important for the client to discuss their advance directives with their family or loved ones, the presence of a partner is not a requirement for the document to be valid. Advance directives primarily focus on the individual's healthcare preferences and choices.

A) Coiling the tubing on the bed above the collection bag is incorrect because it can cause urine to flow back into the bladder, increasing the risk of infection and compromising the effectiveness of the drainage system. The tubing should be kept below the level of the bladder to ensure proper drainage.

B) Instructing the client to hold the drainage bag at waist height when ambulating is incorrect because the drainage bag should always be kept below the level of the bladder to prevent urine from flowing back into the bladder, which could lead to a urinary tract infection (UTI).

C) Securing the tubing with adhesive tape to the lower abdomen is correct because it helps prevent accidental pulling or tugging on the catheter, which could cause discomfort or dislodgement. Properly securing the tubing also helps maintain a continuous flow of urine and reduces the risk of infection.

D) Collecting a sterile specimen from the urinary drainage bag is incorrect because urine in the drainage bag is not considered sterile. If a sterile specimen is needed, it should be obtained by cleaning the catheter's sampling port with an antiseptic solution and withdrawing urine directly from the port using a sterile syringe.