A client who has inoperable cancer tells the nurse that she does not want to pursue the recommended treatment. She asks if the provider can force her to have the treatment. Which of the following is an appropriate response by the nurse?

You have the right to refuse the recommended treatment plan

We will have to tell your provider right away that you are considering this

You have to consider the medical consequences of not treating this cancer

In cases like yours, it is best to talk with your clergyperson before deciding this

Answer and Explanation

The Correct Answer is A

A. You have the right to refuse the recommended treatment plan.

As a nurse, it’s essential to respect the autonomy and decision-making capacity of your patients. Patients have the right to make informed choices about their own healthcare, including whether to accept or decline treatment recommendations. By acknowledging the patient’s right to refuse treatment, you empower them to be active participants in their care.

B. Option b is not the correct answer because it focuses on informing the provider without addressing the client's concerns or providing guidance.

C. Option c is not the correct answer because it emphasizes the medical consequences of not treating the cancer without acknowledging the client's personal beliefs or values.

D. In cases like yours, it is best to talk with your clergyperson before deciding this.

While option D acknowledges the importance of seeking emotional and spiritual support during difficult decisions, it does not directly address the patient’s right to refuse treatment. As a nurse, your primary responsibility is to respect the patient’s autonomy and provide accurate information about their treatment options. Encouraging open communication with a clergyperson or any other trusted individual can be beneficial, but it should not override the patient’s right to make their own decisions regarding their healthcare.

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Correct Answer is A

Explanation

A hemoglobin (Hgb) level of 8.8 mg/dL indicates anemia, which is a decrease in the oxygen-carrying capacity of the blood. Fatigue and tiredness are common symptoms of anemia. When the body does not have enough hemoglobin to transport oxygen eﬀectively, it can lead to feelings of fatigue and a lack of energy.

The other options are not directly associated with a low hemoglobin level:

b) "I have noticed that my fingernails are becoming thicker." Thicker fingernails are not typically associated with a low hemoglobin level. Changes in fingernails can be atributed to various factors, but they are not directly related to anemia.

c) "I have to go to the bathroom all the time." Frequent urination is not typically associated with a low hemoglobin level. It can be related to other factors such as urinary tract infections, diabetes, or diuretic use, among others.

d) "I notice that my hands are always shaky." Hand tremors are not directly associated with a low hemoglobin level. Tremors can have various causes, such as neurological conditions, medication side eﬀects, or excessive caﬀeine intake, but they are not directly linked to anemia.

A. The client has state-sponsored health insurance. B. The client has developed difficulty ambulating. C. The client's next dressing change is scheduled in 4 hr. D. The client's vital signs are checked every 8 hr.

Correct Answer is B

Explanation

The client has state-sponsored health insurance: While information about the client's health insurance coverage is important for billing and financial purposes, it may not be directly relevant to the discussion in an interprofessional team meeting unless it specifically impacts the client's access to healthcare resources or affects decision-making regarding their care plan.

The reason for including this information is that difficulty ambulating can impact the client's overall mobility and functional status. It can have implications for their ability to perform activities of daily living, increase the risk of falls, and require additional interventions or resources. By sharing this information with the interprofessional team, appropriate strategies and interventions can be discussed and implemented to address the client's mobility issues.

The client's next dressing change is scheduled in 4 hours: The timing of the client's dressing change may be important for nursing documentation and scheduling purposes. However, it may not be a significant focus of discussion in an interprofessional team meeting unless there are specific concerns or issues related to the dressing change that require collaboration and coordination among the healthcare team.

The client's vital signs are checked every 8 hours: The frequency of vital sign checks is an important aspect of nursing care and monitoring. However, unless there are specific concerns or deviations from normal vital signs that need to be discussed, it may not be the primary information to include in an interprofessional team meeting. The focus of the meeting is typically on broader aspects of the client's condition, care plan, and multidisciplinary interventions.

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A client who has inoperable cancer tells the nurse that she does not want to pursue the recommended treatment. She asks if the provider can force her to have the treatment. Which of the following is an appropriate response by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client whose Hgb is 8.8 mg/dL. Which of the following statements should the nurse expect?

Correct Answer is A

Explanation

A nurse is participating in an interprofessional team meeting for a client. Which of the following information about the client should the nurse include?

Correct Answer is B

Explanation

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