A nurse manager is conducting an in-service on environmental safety and responding to fires for a group of nurses. Which of the following actions should the nurse manager identify as the first step in using a fire extinguisher?

A. "The provider should sign the advance directives before it is valid." This statement is incorrect. Advance directives are valid once they are signed by the client, not the provider. The provider's signature is not required.
B. "The health care proxy is required to approve the client's wishes listed in advance directives." This statement is incorrect. The health care proxy does not have the authority to approve or alter the client's wishes. The proxy is responsible for ensuring that the client's wishes are followed as documented in the advance directives.
C. "The health care proxy can add additional treatments to the advance directives." This statement is incorrect. The health care proxy cannot add or change treatments listed in the advance directives. Their role is to make decisions based on the existing directives.
D. "Advance directives should be documented in the client's medical record." This statement is correct. Advance directives should be documented in the client's medical record to ensure that all healthcare providers are aware of and can adhere to the client's wishes.

A. "Perform vigorous intensity aerobic exercise for 50 minutes per week." The TLC diet recommends moderate-intensity physical activity for at least 30 minutes most days of the week, totaling about 150 minutes per week. Vigorous exercise is beneficial but is not the primary focus of the TLC guidelines.
B. "Increase your intake of total fiber to 30 grams each day." This is correct. Increasing fiber intake to 20-30 grams per day is a key component of the TLC diet, as it helps to lower LDL cholesterol and improve overall heart health.
C. "You will have your LDL measured every 6 months." While regular monitoring of LDL levels is important, the TLC guidelines do not specify that LDL should be measured every 6 months. Frequency of monitoring should be individualized based on the client's health status and risk factors.
D. "You should have a weight loss goal of 3 pounds per week." A weight loss goal of 1-2 pounds per week is recommended as safe and sustainable. Aiming for 3 pounds per week may be too aggressive and difficult to maintain.