A murse is caring for an older adult client who has advanced dementia and needs a blood transfusion. The client previously designated her ad daughter on a durable power of attorney for health care form, and the daughter refuses the treatment. Which of the following actions should the nurse take?

Respect the daughter's decision to refuse the transfusion.

Encourage the daughter to let her mother have the transfusion.

Discuss taking guardianship of the client with the facility administration.

Ask the provider to give consent for the transfusion

Answer and Explanation

The Correct Answer is A

A. Respect the daughter's decision to refuse the transfusion. Since the daughter has been designated as the durable power of attorney for health care, she has the legal authority to make medical decisions on behalf of her mother. The nurse should respect her decision, even if it involves refusing treatment.

B. Encourage the daughter to let her mother have the transfusion. While the nurse can provide information and support, they should not pressure or coerce the daughter into making a different decision.

C. Discuss taking guardianship of the client with the facility administration.This is unnecessary as the daughter already has the legal authority to make decisions through the durable power of attorney.

D. Ask the provider to give consent for the transfusion.The provider cannot override the decision made by the designated durable power of attorney unless there is evidence that the daughter is not acting in the client's best interest.

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Correct Answer is A

Explanation

A. Identify current infection rates from facility data:

This is the correct answer. Before implementing any changes, it is crucial to assess the current state of infection rates within the facility. This data serves as a baseline to measure the effectiveness of interventions.

B. Incorporate the process change into daily practice within the facility:

This step comes after identifying the current infection rates. Implementing changes without understanding the baseline infection rates may not effectively address the issue.

C. Select a potential intervention to lower the current infection rate:

While selecting an intervention is a crucial step, it should follow the identification of current infection rates. Interventions should be evidence-based and tailored to the specific issues identified.

D. Determine if the implemented change has lowered the current infection rate:

This step occurs after the intervention has been implemented. It involves ongoing monitoring and evaluation to determine the impact of the changes on infection rates.

Correct Answer is ["0.7"]

Explanation

To calculate the volume (mL) that the nurse should administer, we can follow these steps:

Convert the weight from pounds to kilograms.

1 lb=0.453592 kg.

66 lb×0.453592 kg/lb≈29.937 kg

Calculate the total dose using the weight and prescribed dose:

Total Dose (mg)=Dose per kg×Weight (kg)

Total Dose=0.55 mg/kg×29.937 kg≈16.465 mg

Determine the volume using the concentration of the available solution:

Volume (mL) =Total Dose (mg)/Concentration (mg/mL)

Volume=16.465mg/25 mg/mL≈ 0.6586 mL

Therefore, the nurse should administer approximately 0.7 mL of chlorpromazine for the 0.55 mg/kg IM dose, rounded to the nearest tenth.

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A murse is caring for an older adult client who has advanced dementia and needs a blood transfusion. The client previously designated her ad daughter on a durable power of attorney for health care form, and the daughter refuses the treatment. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is attending a quality improvement meeting. Which of the following actions should the nurse take first when initiating a quality improvement program to address health care-associated infections?

Correct Answer is A

Explanation

A nurse is preparing to administer chlorpromazine 0.55 mg/kg IM to a child who weighs 66 lb. Available is chlorpromazine 25 mg/mL for injection. How many mL should the nurse administer? (Round the answer to the nearest tenths. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["0.7"]

Explanation

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