A nurse is reinforcing teaching with a client about advance directives and a health care proxy.

Which of the following client statements indicates an understanding of the teaching?

Once my health care proxy is in place, I relinquish my right to make my own decisions.

If I have a health care proxy, then I do not need to have a living will.

My health care proxy designee is not able to sign a consent form on my behalf.

I do not need to name a relative as my designee in my health care proxy.

None

Answer and Explanation

The Correct Answer is D

A. Having a health care proxy does not mean that the individual relinquishes their right to make their own decisions. A health care proxy is designated to make decisions on behalf of the individual when they are unable to do so, but the individual retains the right to make decisions if they are capable.

B. Having a health care proxy does not eliminate the need for a living will. A living will outline the individual's specific wishes regarding medical treatments and end-of-life care, while a health care proxy designates a person to make decisions on their behalf. Both documents serve different purposes and can work together to ensure the individual's wishes are respected.

C. A health care proxy designee is typically empowered to make medical decisions on your behalf, including signing consent forms if necessary. This is one of the primary roles of a health care proxy – to act in your best interests when you are unable to make decisions yourself, including signing forms for procedures or treatments.

D. The individual has the choice to name any person as their health care proxy designee, regardless of their relationship. It is important to choose someone who understands the individual's wishes and can make decisions in their best interest. The decision of whom to name as the health care proxy designee is personal and should be based on trust and understanding.

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Correct Answer is B

Explanation

Veracity refers to the principle of truthfulness and honesty in communication. By truthfully communicating about the adverse effects of the prescribed medications, the nurse is demonstrating veracity. This ethical principle emphasizes the importance of providing accurate information to the client to promote informed decision-making and autonomy.

Justice refers to fairness and equitable treatment, ensuring that individuals receive what they are due and that resources are distributed appropriately. While justice is an important ethical concept in healthcare, it is not directly applicable to the nurse's communication about adverse effects.

Autonomy refers to respecting the right of individuals to make their own decisions and choices regarding their healthcare. While truthfully communicating about adverse effects supports autonomy, autonomy itself is not the specific ethical concept being exhibited in this scenario. Beneficence refers to the ethical principle of acting in the best interest of the client and promoting their well-being. While providing accurate information about adverse effects can be seen as a form of beneficence, it does not directly address the nurse's truthful communication in this specific scenario.

A. Weight gain B. Bradycardia C. Epistaxis D. Anorexia

Correct Answer is C

Explanation

Explanation

C. Epistaxis

Heparin is an anticoagulant medication used to prevent blood clot formation. One of the potential adverse effects of heparin therapy is bleeding. Epistaxis, or nosebleeds, can be a sign of abnormal bleeding and should be reported to the provider for further evaluation and adjustment of the treatment plan if necessary.

Weight gain in (option A) is not a common adverse effect of heparin. Weight gain can be caused by various factors, but it is not directly related to heparin administration.

Bradycardia (slow heart rate) in (option B) is not a common adverse effect of heparin. Bradycardia can be caused by other factors unrelated to heparin therapy and should be evaluated separately.

Anorexia (loss of appetite) in (option D) is not typically associated with heparin therapy. Anorexia can have various causes, but it is not directly linked to heparin administration.

Therefore, the nurse should report the occurrence of epistaxis (option C) to the healthcare provider as a potential adverse effect of heparin therapy in the client.

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A nurse is reinforcing teaching with a client about advance directives and a health care proxy. Which of the following client statements indicates an understanding of the teaching?

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A nurse is reinforcing teaching with a client about advance directives and a health care proxy.

Which of the following client statements indicates an understanding of the teaching?