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 D

Explanation

- A: Night sweats and fever could indicate an infection or a chronic condition, which, while important, may not require immediate attention compared to life-threatening conditions.
- B: Compound fractures are serious and require medical attention, but they are not immediately life-threatening if the patient is stable.
- C: Severe vomiting and diarrhea can lead to dehydration and electrolyte imbalance, which are concerning but can be managed with prompt treatment and do not typically pose an immediate threat to life.
- D: Soot markings around the naris indicate possible inhalation injury from a fire, which is a critical condition that can rapidly worsen and lead to airway compromise, making it the highest priority for immediate assessment and intervention.

A. Recommend the AP come back later when the record is available B. Log out so the AP can log in to document the vital signs C. Offer to chart the vital signs for the AP D. Allow the AP to document the vital signs prior to logging out

Correct Answer is B

Explanation

a. Recommending the AP come back later may delay necessary documentation and disrupt workflow.
b. Logging out so the AP can log in to document the vital signs ensures accurate and timely documentation without compromising security or privacy.
c. Offering to chart the vital signs for the AP may blur roles and responsibilities, as charting should be done by the individual who performed the assessment.
d. Allowing the AP to document vital signs prior to logging out may violate policies regarding unauthorized

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

Correct Answer is D

Explanation

A nurse has just completed assessment charting on the electronic record for an assigned client. As assistive personnel (AP) who just measured the client’s vital signs asks to chart them while the nurse is still logged into the record. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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