A nurse is providing information to a client about durable power of attorney. The nurse should include that durable power of attorney is enforceable under which of the following conditions?
The client is incapable of providing self-care.
The client is unable to express their wishes.
The client is terminally ill.
The client has refused treatment
The Correct Answer is B
A. While durable power of attorney may come into effect if the client becomes incapacitated, it specifically pertains to healthcare decision-making rather than self- care activities.
B. Durable power of attorney for healthcare decisions is enforceable when the client is unable to make or communicate their own healthcare decisions.
C. Terminal illness may be a factor in the decision-making process, but durable power of attorney is not contingent upon terminal illness.
D. Refusal of treatment is a separate issue from durable power of attorney and does not directly relate to the enforceability of a healthcare proxy.
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Correct Answer is C
Explanation
A. Clean gloves are typically sufficient for wound care, and the use of sterile gloves may not be necessary for routine dressing changes.
B. Frequent dressing changes can disrupt wound healing and increase the risk of infection. Dressings should be changed according to the healthcare provider's instructions, which are typically less frequent.
C. When cleaning the wound, it is important to start from the incision site and work outward to avoid introducing contaminants into the wound.
D. Tincture of benzoin is a skin adhesive and may not be routinely used for dressing changes, especially if it is not specified in the healthcare provider's orders.
Correct Answer is C
Explanation
A. Pupil size can vary but is typically around 3 to 5 mm in diameter under normal conditions.
B. The normal rate of involuntary blinking (spontaneous blinking) is approximately 15 to 20 times per minute.
C. Outwardly curling eyelashes are a normal anatomical variation and do not indicate any pathology.
D. Corneas should appear clear and transparent under normal conditions. Opacity of the cornea can indicate various eye disorders.
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