A nurse is providing care to a client who is preparing to undergo surgery. The client inquires about advance directives. Which of the following statements should the nurse make?
"Advance directives are the same as a consent form for health care treatment."
"Advance directives protect your right to make your own health care decisions."
"Advance directives must be approved by your lawyer."
"Advance directives are for clients who have life-threatening conditions."
The Correct Answer is B
Choice A reason: Advance directives outline future care wishes, unlike consent for immediate treatment. This conflates distinct legal documents, misinforming the client.
Choice B reason: Advance directives ensure autonomy, letting clients dictate care preferences pre-surgery. This accurately conveys their purpose in healthcare decision-making.
Choice C reason: Lawyer approval isn’t required; forms are legally valid with witnesses. This overstates complexity, deterring clients from creating directives.
Choice D reason: Directives apply to all, not just life-threatening cases. They’re proactive for any surgery, so this limits their broad applicability.
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Naxlex Comprehensive Predictor Exams
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Correct Answer is B
Explanation
Choice A reason: A 90-degree angle is too upright; newborns need a 30-45-degree recline to protect airways. This shows misunderstanding of safe positioning.
Choice B reason: Rear-facing until age 2 supports neck and spine safety, per guidelines. This reflects correct understanding of car seat standards for newborns.
Choice C reason: Retainer clips belong at chest level, not belly, for harness safety. This indicates incorrect knowledge of car seat strap placement.
Choice D reason: Airbags endanger front-seat infants; rear seating is mandatory. Enabling them shows a dangerous misunderstanding of car seat safety protocols.
Correct Answer is B
Explanation
Choice A reason: Massaging a DVT risks dislodging the clot, causing embolism. In postpartum with anticoagulants, this is contraindicated to prevent lethal complications.
Choice B reason: Bed rest minimizes clot movement in DVT, aiding anticoagulation postpartum. It reduces embolism risk, a critical safety measure in this scenario.
Choice C reason: Ice may reduce swelling, but it’s not standard for DVT with anticoagulants. Elevation and rest are prioritized over cold therapy here.
Choice D reason: Aspirin isn’t used with anticoagulants like heparin; it increases bleeding risk. Postpartum DVT needs specific pain management, not this drug.
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