A client with terminal cancer is admitted to hospice care.

The daughter is documented as the client’s health care proxy agent.

Which statement made by the nurse demonstrates an understanding of health care proxy and care?

The daughter will make all of the client’s health care decisions.

No extraordinary means, such as cardiopulmonary resuscitation, will be initiated.

The directive takes effect only if the client is incapable of personally making health care decisions.

The closest relative, such as the spouse, must still be consulted before the daughter in making health care decisions.

Answer and Explanation

The Correct Answer is C

The directive takes effect only if the client is incapable of personally making health care decisions. This statement demonstrates an understanding of health care proxy and care because it reflects the definition of a health care proxy as a person who can make health care decisions for the client only when the client is unable to communicate these themselves.

Choice A is wrong because the daughter does not have the authority to make all of the client’s health care decisions, only those that the client has not specified in advance or that are not covered by the living will.

Choice B is wrong because no extraordinary means, such as cardiopulmonary resuscitation, will be initiated only if the client has expressed this preference in a living will or a do-not-resuscitate order.

Choice D is wrong because the closest relative, such as the spouse, does not have to be consulted before the daughter in making health care decisions, unless the client has designated them as an alternate proxy.

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Correct Answer is D

Explanation

Independent. An independent nursing intervention is an action that a nurse can perform by themselves, without any management from a doctor or another discipline.

Taking the client’s temperature again is an example of an independent nursing intervention because it does not require a physician’s order or collaboration with other health care professionals.

Choice A is wrong because an interdependent nursing intervention is an action that requires collaboration or consultation with other health care professionals.

Taking the client’s temperature again does not involve working with other disciplines.

Choice B is wrong because a dependent nursing intervention is an action that requires an order from a physician or another health care provider.

Taking the client’s temperature again does not require a physician’s order.

Choice C is wrong because a collaborative nursing intervention is an action that involves working with other health care professionals to provide patient care.

Taking the client’s temperature again does not require collaboration with other disciplines.

A. Oatmeal with a banana, milk, and orange juice. B. Blueberry muffin, cranberry juice, and herbal tea. C. Scrambled egg whites, whole wheat toast, and apple juice. D. Bagel with low fat cream cheese and decaffeinated coffee.

Correct Answer is C

Explanation

This is because furosemide is a diuretic that makes you pee more and lose water and electrolytes such as potassium and sodium.

Therefore, you should avoid foods that are high in sodium or potassium, such as bananas, oranges, cranberries, and bagels with cream cheese.

You should also drink plenty of fluids to prevent dehydration.

Choice A is wrong because oatmeal with a banana, milk, and orange juice contains too much potassium, which can cause irregular heartbeat or muscle weakness when taking furosemide.

Choice B is wrong because blueberry muffins, cranberry juice, and herbal tea contain too much sodium and sugar, which can raise your blood pressure and worsen your heart failure.

Choice D is wrong because a bagel with low-fat cream cheese and decaffeinated coffee contains too much sodium and caffeine, which can cause fluid retention and increase your heart rate.

Normal ranges for potassium are 3.5 to 5.0 mmol/L and for sodium are 135 to 145 mmol/L.

You should monitor your electrolyte levels regularly when taking furosemide.

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A client with terminal cancer is admitted to hospice care. The daughter is documented as the client’s health care proxy agent. Which statement made by the nurse demonstrates an understanding of health care proxy and care?

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Naxlex Comprehensive Predictor Exams

A health care provider has ordered vital signs every 4 hours. The client’s 8:00 AM temperature was 99° F (37.2° C). At 10 AM, the client reported chills. A nurse takes the client’s temperature again. Which type of nursing action does this exemplify?

Correct Answer is D

Explanation

A client with congestive heart failure takes furosemide daily. Which breakfast choice should a nurse suggest for this client?

Correct Answer is C

Explanation

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A client with terminal cancer is admitted to hospice care.

The daughter is documented as the client’s health care proxy agent.

Which statement made by the nurse demonstrates an understanding of health care proxy and care?