6) A nurse on a medica-surgical unit is caring for a client who asks about advance directives and states that he wants to appoint a health care proxy. Which of the following responses should the nurse make?

“You must choose a member of your family to serve as your health care proxy”

“A health care proxy can make decisions for you when you are unable to do so”

“You should appoint a health care proxy before undergoing an invasive procedure”

“It is necessary for an attorney to approve your health care proxy”

Answer and Explanation

The Correct Answer is B

a.   This is incorrect because a health care proxy doesn't necessarily have to be a family member. It can be any person chosen by the individual.
b.   This is the correct response because it accurately describes the role of a health care proxy, which is to make decisions for the individual when they are unable to do so themselves.
c.   This is incorrect because appointing a health care proxy is not contingent upon undergoing an invasive procedure.
d.   This is incorrect because the involvement of an attorney is not necessary to appoint a health care proxy.

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Correct Answer is C

Explanation

A. Postoperative urinary retention is common after surgery, especially within the first 12 hours. While this requires monitoring and possible intervention, it is not the highest priority.
B. Emotional distress before surgery is important to address, but it is not an immediate physiological concern requiring urgent intervention.
C. An absent pulse in the right foot indicates potential acute arterial occlusion, which is a medical emergency. This condition can lead to tissue ischemia and necrosis if not treated promptly. Immediate intervention is needed to restore circulation.
D. A dressing change for a diabetic ulcer is important for wound healing and infection prevention, but it does not take priority over a potential loss of circulation.

A. Establishing communication between providers B. Developing client treatment protocols C. Assessing client needs D. Providing medication reconciliation

Correct Answer is C

Explanation

a. While telehealth may facilitate communication between providers, its primary objective is often to assess and address the needs of clients remotely.
b. Developing client treatment protocols may be a component of telehealth, but it is not its primary objective.
c. One of the main objectives of telehealth is to assess client needs remotely, allowing for the provision of healthcare services without the need for an in-person visit.
d. Providing medication reconciliation may be a component of telehealth services, but it is not its primary objective.

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6) A nurse on a medica-surgical unit is caring for a client who asks about advance directives and states that he wants to appoint a health care proxy. Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse on a med-surge unit is caring for four clients. The nurse should recognize that which of the following clients is the priority?

Correct Answer is C

Explanation

A nurse in an ambulatory care setting is orienting a newly licensed nurse who is preparing to return a call to a client. The nurse should explain that which of the following is an objective of telehealth?

Correct Answer is C

Explanation

A nurse at a long-term facility is planning a fall prevention program for the residents. Which of the following interventions should the nurse include?

A nurse working in an emergency department is performing triage. To which of the following clients should the nurse assign priority?

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