An adult female patient has been prescribed a 10-day course of nitrofurantoin (Macrodantin) for a urinary tract infection (UTI). On the sixth day, she contacts the healthcare provider’s office and informs the nurse that her symptoms have subsided. She inquires if she should continue with the treatment.
What would be the most suitable response from the registered nurse?

Choice A rationale:
Administering pre-operative medications does not address the client's expressed desire regarding resuscitation. It is a necessary step in preparing the client for surgery, but it does not directly relate to their preferences for end-of-life care.
Fulfilling this task does not ensure that the client's wishes are communicated to the appropriate healthcare providers, potentially leading to unwanted resuscitative efforts if the client's condition deteriorates during surgery.
It is crucial for the nurse to prioritize the client's autonomy and right to self-determination regarding their healthcare choices.
Choice B rationale:
Informing the physician after the surgery is complete is not timely and could result in the client's wishes not being respected.
The physician needs to be aware of the client's resuscitation preferences before the procedure begins to ensure that care aligns with their wishes.
Delaying communication could lead to ethical and legal dilemmas if resuscitation is attempted against the client's expressed desires.
Choice C rationale:
This is the most appropriate action because it directly addresses the client's concerns and ensures that their wishes are documented and communicated effectively.
Having a clear conversation with the client allows for exploration of their understanding of resuscitation and any potential concerns or questions they may have.
Recording the client's wishes in their medical record provides a clear record for all healthcare providers involved in their care, promoting consistency and respect for their autonomy.
Choice D rationale:
While verbally communicating the client's wishes to the operating room supervisor is important, it is not sufficient on its own.
Written documentation in the medical record is essential to ensure that the information is accurately conveyed to all members of the healthcare team and accessible throughout the client's care journey.

Choice A rationale:
Chronic health promotion focuses on managing and preventing complications of long-term, ongoing conditions. The nurse's talk is not addressing a specific chronic condition or its management, so it does not fall under this category.
Choice B rationale:
Tertiary health promotion aims to minimize the impact of an existing disease or disability and restore function as much as possible. The nurse's talk is not addressing a current disease or disability, but rather preventing them from occurring in the first place, so it does not fall under this category.
Choice C rationale:

Secondary health promotion focuses on early detection and treatment of diseases to prevent or slow their progression. The nurse's talk is not focused on early detection or treatment of specific diseases, but rather on preventing them from developing in the first place, so it does not fall under this category.
Choice D rationale:
Primary health promotion emphasizes preventing diseases and promoting overall wellness before any health problems arise. This aligns directly with the nurse's talk on diet and exercise, as these are key lifestyle factors that can significantly reduce the risk of many chronic diseases and promote overall health.
Here's a breakdown of why this is primary health promotion:
Focus on prevention: The talk is not about managing existing conditions or detecting diseases early; it's about preventing them from occurring in the first place.
Addressing root causes: Diet and exercise are fundamental factors that influence overall health and can contribute to the development of many chronic diseases. By addressing these root causes, the nurse is working to prevent these diseases from developing.
Promoting healthy behaviors: The talk encourages individuals to adopt healthy behaviors that can have a lasting impact on their health. This aligns with primary health promotion's focus on empowering individuals to take control of their own health.