A nurse is caring for an older adult client who has advanced dementia and needs a blood transfusion. The client previously designated her adult 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?

Ask the provider to give consent for the transfusion.

Discuss taking guardianship of the client with the facility administration.

Respect the daughter's decision to refuse the transfusion.

Encourage the daughter to let her mother have the transfusion.

Answer and Explanation

The Correct Answer is C

A) Ask the provider to give consent for the transfusion:

The provider cannot override the decision made by the client's designated healthcare proxy. Even if the provider were to give consent for the transfusion, it would not be ethically or legally appropriate to proceed with the treatment against the expressed wishes of the client's healthcare proxy.

B) Discuss taking guardianship of the client with the facility administration:

Seeking guardianship of the client would be an extreme measure and may not be necessary or appropriate in this situation. Guardianship is typically pursued when there are concerns about an individual's capacity to make decisions for themselves and when there is no designated healthcare proxy available to make decisions on their behalf. In this case, the client has a designated healthcare proxy, and it is more appropriate to respect the daughter's decision as the client's authorized representative.

C) Respect the daughter's decision to refuse the transfusion:

In situations where a client has designated a durable power of attorney for healthcare, the individual designated as the healthcare proxy has the legal authority to make healthcare decisions on behalf of the client, including the refusal of treatment. In this case, the daughter, acting as the client's healthcare proxy, has refused the blood transfusion for her mother. It is important for the nurse to respect and honor the daughter's decision, as it aligns with the client's previously documented wishes.

D) Encourage the daughter to let her mother have the transfusion:

While it is understandable that the nurse may want to advocate for the client's well-being, in this situation, the daughter's decision as the client's healthcare proxy must be respected. Encouraging the daughter to change her decision would not be appropriate if it goes against her understanding of what is in her mother's best interests and the client's previously documented wishes.

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Free Nursing Study Resources

Correct Answer is ["A","B","C"]

Explanation

A) Ensure the client wears nonskid slippers when walking around the house:

Wearing nonskid slippers can help improve traction and stability, reducing the risk of slips and falls, especially on smooth or slippery surfaces commonly found in homes. Ensuring the client wears nonskid slippers is a proactive measure to prevent falls.

B) Install a raised toilet seat in the client's bathroom:

A raised toilet seat can make it easier for older adults with mobility issues to sit down and stand up from the toilet safely. It reduces the distance the client needs to lower themselves, decreasing the risk of falls, especially for those with balance or strength limitations.

C) Encourage an annual review of the medications the client is taking:

Medication review is essential to identify any medications that may increase the risk of falls due to side effects such as dizziness, drowsiness, or orthostatic hypotension. An annual review ensures that any potential fall-inducing medications can be identified and addressed promptly.

D) Attach full-length side rails to the client's bed:

While side rails may prevent falls out of bed, they can also increase the risk of entrapment and injury. The use of side rails is controversial and should be based on individualized assessment and risk-benefit analysis. In many cases, alternative interventions to prevent falls should be considered before resorting to side rails.

E) Place throw rugs on uncarpeted floors in the client's home:

Throw rugs can be tripping hazards, especially for older adults with mobility issues. They can easily slip or bunch up, leading to falls. Removing throw rugs or securing them firmly to the floor is recommended to reduce the risk of falls in the home.

A. Ensure the client wears nonskid slippers when walking around the house. B. Install a raised toilet seat in the client's bathroom. C. Encourage an annual review of the medications the client is taking. D. Attach full-length side rails to the client's bed. E. Place throw rugs on uncarpeted floors in the client's home:

Correct Answer is ["A","B","C"]

Explanation

A) Ensure the client wears nonskid slippers when walking around the house:

B) Install a raised toilet seat in the client's bathroom:

C) Encourage an annual review of the medications the client is taking:

D) Attach full-length side rails to the client's bed:

E) Place throw rugs on uncarpeted floors in the client's home:

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A nurse is caring for an older adult client who has advanced dementia and needs a blood transfusion. The client previously designated her adult 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 reinforcing teaching with the family of an older adult client about safety precautions. Which of the following recommendations should the nurse include to reduce the risk of a client fall? (Select a that apply)

Correct Answer is ["A","B","C"]

Explanation

A nurse is reinforcing teaching with the family of an older adult client about safety precautions. Which of the following recommendations should the nurse include to reduce the risk of a client fall? (Select all that apply.)

Correct Answer is ["A","B","C"]

Explanation

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