A nurse is reinforcing teaching with a client about advanced directives. Which of the following information should the nurse include?

"You will need an attorney to appoint a health care surrogate."

"Your health care surrogate will make decisions on your behalf if you are unable."

"You should appoint a family member as your health care surrogate."

"Once you have completed a living will, it cannot be changed."

Answer and Explanation

The Correct Answer is B

"Your health care surrogate will make decisions on your behalf if you are unable": This statement is correct. A health care surrogate, also known as a health care proxy or durable power of attorney for health care, is an individual designated by the client to make medical decisions on their behalf if they become unable to make decisions for themselves. It is important for the client to choose someone they trust and who understands their values and wishes.
"You will need an attorney to appoint a health care surrogate": This statement is not necessarily true. While involving an attorney can be helpful, it is not always required to appoint a health care surrogate. In many jurisdictions, a legally valid health care surrogate designation can be made through a simple document or form provided by the hospital or a local government office. It is important to check the specific legal requirements in the client's jurisdiction.
"You should appoint a family member as your health care surrogate": This statement is a subjective recommendation and may not be applicable to all individuals. The decision of whom to appoint as a health care surrogate should be based on the client's personal preferences and the individual's ability to make informed decisions according to the client's wishes. While a family member is often chosen, it is not a requirement, and the client may choose a close friend, partner, or anyone else they trust to fulfill this role.
"Once you have completed a living will, it cannot be changed": This statement is incorrect. A living will, which is a type of advanced directive, can be changed or revoked at any time by the client as long as they are competent to do so. It is important for the client to review and update their living will periodically to ensure that it reflects their current wishes regarding medical care and treatment.

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Correct Answer is B

Explanation

Informed consent is a process where the healthcare provider explains the risks, benefits, and alternatives of a proposed procedure or treatment to the client. The client then demonstrates their understanding of this information and voluntarily agrees to undergo the procedure or treatment.

A. "I will have a large scar on my stomach after this procedure". This is incorrect for a vaginal hysterectomy, which does not involve an abdominal incision.

B. 'I am thankful I am done having children." This statement reflects an understanding of a key consequence of a hysterectomy, which is the removal of the uterus and the resulting inability to have children. This indicates that the client is aware of and accepts the major impact of the surgery on their reproductive capabilities.

C."I should expect my periods to resume in 1 month.": This is incorrect because the removal of the uterus means the client will no longer have menstrual periods.

D."I will no longer need a regular gynecological examination.": This is incorrect because regular gynecological examinations are still necessary to monitor overall reproductive health and screen for other conditions.

A. I have to take this medication on an empty stomach. B. I will need to remain upright for 1 hour after taking the medication. C. I should expect to have diarrhea while taking this medication. D. I can take antacids at the same time as this medication.

Correct Answer is B

Explanation

B, I will need to remain upright for 1 hour after taking medication

Taking pantoprazole, a proton pump inhibitor, on an empty stomach and remaining upright for 1 hour after taking it helps maximize its effectiveness. By staying upright, the medication has a better chance of reaching the intended target and reducing acid production in the stomach

Taking pantoprazole on an empty stomach in (option A) is incorrect, but it is not the client's responsibility to ensure this. They should follow the instructions provided by their healthcare provider.

Diarrhea is not a common side effect of pantoprazole in (option C). The client should report any unusual or severe side effects to their healthcare provider.

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A nurse is reinforcing teaching with a client about advanced directives. Which of the following information should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is verifying informed consent for a client who is preoperative for a vaginal hysterectomy. Which of the following statements should the nurse identify as an indication that the client has given informed consent?

Correct Answer is B

Explanation

A nurse is reinforcing teaching with a client who has GERD and a prescription for pantoprazole. Which of the following statements indicates an understanding of the teaching?

Correct Answer is B

Explanation

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