A nurse is caring for an adult client who has a developmental disability. The client requires an emergency appendectomy, and the staff cannot reach the appointed guardian. Which of the following is an appropriate action for the nurse to take?
Postpone the procedure until the staff contacts the guardian.
Obtain consent from the client.
Prepare the client for surgery with implied consent.
Request that the provider sign the consent form.
The Correct Answer is C
Rationale:
A. Postponing the procedure could put the client at risk if the appendicitis worsens.
B. Obtaining consent from the client may not be possible due to the client's developmental disability.
C. Preparing the client for surgery with implied consent is appropriate when the client is unable to provide consent and the procedure is urgent.
D. Requesting that the provider sign the consent form is not appropriate because the provider cannot provide consent on behalf of the client.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["12.5"]
Explanation
To calculate the dose of ampicillin for a school-age child who weighs 55 lb, follow these steps: Convert the weight from pounds to kilograms:
55 lb × 1 kg/2.2 lb = 25 kg
Calculate the total daily dose of ampicillin:
50 mg/kg/day × 25 kg = 1250 mg/day
Divide the total daily dose by the number of doses per day:
1250 mg/day ÷ 4 doses/day = 312.5 mg/dose
Convert the dose from milligrams to milliliters using the concentration of the oral suspension:
312.5 mg/dose ÷ 125 mg/5 mL = 12.5 mL/dose
So, the nurse should administer approximately 12.5 mL of ampicillin oral suspension with each dose.

Correct Answer is B
Explanation
Rationale:
A. Creating advance directives to donate organs is not a primary purpose of advance directives.
B. Naming a sibling as a designee in a durable power of attorney for health care is a valid choice for appointing a healthcare proxy.
C. Advance directives do not require approval from an attorney.
D. A family member does not need to witness the client's signature on a living will.
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