A nurse is caring for a client who has a history of dementia.
The client is alert and oriented to person, place, and time, and has advance directives.
The client is scheduled for a procedure that requires informed consent.
Which of the following persons should sign the informed consent?
The client’s daughter, who is the primary caregiver.
The client.
The client’s partner.
The client’s son, who has a durable power of attorney.
The Correct Answer is B
Choice A rationale
While the client’s daughter, who is the primary caregiver, may have a significant role in the client’s care, the decision to sign the informed consent ultimately lies with the client if they are deemed competent.
Choice B rationale
The client, who is alert and oriented to person, place, and time, and has advance directives, is the most appropriate person to sign the informed consent. As long as the client is competent and understands the information provided, they have the right to make their own medical decisions.
Choice C rationale
The client’s partner does not have the legal authority to sign the informed consent on behalf of the client unless the client is deemed incompetent and the partner is designated as the legal representative.
Choice D rationale
The client’s son, who has a durable power of attorney, can only sign the informed consent on behalf of the client if the client is deemed incompetent. Since the client is alert and oriented, they should be the one to sign the informed consent.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
A moderate amount of swelling is not normal during a testicular self-examination. Any swelling or lumps should be reported to a healthcare provider for further evaluation.
Choice B rationale
The testicles should indeed be examined after a bath or shower. The warmth of the water relaxes the scrotal sac and makes it easier to feel for any abnormalities. This is the correct answer.
Choice C rationale
The testicular self-examination should not be performed twice a week. It is recommended to perform the examination once a month.
Choice D rationale
Abnormalities are not detected by pinching the testicles. Instead, the testicles should be rolled gently between the fingers and thumb to feel for any lumps or bumps.
Correct Answer is B
Explanation
Choice A rationale
Hematuria, or blood in the urine, is not typically a symptom of postpartum endometritis.
Choice B rationale
Pelvic pain is a common symptom of postpartum endometritis. It is often one of the first symptoms to appear, along with lower abdominal pain and uterine tenderness.
Choice C rationale
While a moderate amount of dark red lochia with a bloody odor can be a normal part of the postpartum period, it is not specifically indicative of endometritis.
Choice D rationale
Localized area of breast tenderness is not typically a symptom of postpartum endometritis.
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