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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Beneficence:
Beneficence is the ethical principle of doing good or promoting the well-being of the patient. In this scenario, the nurse is respecting the client's autonomy rather than actively promoting a specific course of action.
B. Fidelity:
Fidelity refers to the principle of being faithful or keeping promises. While being truthful and honest with the client is important, the nurse's response is primarily addressing the client's autonomy.
C. Autonomy:
This is the correct answer. Autonomy is the ethical principle that emphasizes the individual's right to make decisions about their own care, including the right to refuse treatment. The nurse's response acknowledges and respects the client's autonomy in deciding to discontinue enteral feedings.
D. Justice:
Justice pertains to fairness and equitable distribution of resources. It is not the primary ethical principle being demonstrated in this scenario, as the focus is on the individual's right to make a decision about their own care.
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.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.