A nurse is reinforcing teaching with a client who is planning to complete a living will. Which of the following statements by the client indicates an understanding of the teaching?

"My doctor will choose which medical procedures I will have."

"I can revise my living will if I change my mind."

"My family can change the decisions in my living will."

"I need an attorney to write my living will."

Answer and Explanation

The Correct Answer is B

A. "My doctor will choose which medical procedures I will have." A living will allows the client to specify their own wishes regarding medical treatment, rather than leaving decisions solely to the doctor. It is a legal document that guides providers based on the client’s preferences.

B. "I can revise my living will if I change my mind." Clients have the right to update or revoke their living will at any time, reflecting changes in their preferences or health status. This flexibility is an important aspect of advance directives and indicates understanding.

C. "My family can change the decisions in my living will." The family cannot override the client’s living will unless legally appointed as a healthcare proxy. The living will represents the client’s autonomous decisions and must be honored by healthcare providers.

D. "I need an attorney to write my living will." While legal advice can be helpful, clients do not need an attorney to create a living will. Many states provide standardized forms that individuals can complete without legal assistance.

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Correct Answer is D

Explanation

A. Mark the length to be inserted on the tube with tape: Marking the insertion length is important to ensure correct placement, but this step should occur after assessing which nare to use and preparing the client.

B. Instruct the client to hyperextend her neck: Hyperextending the neck is not recommended during NG tube insertion; instead, the client should slightly flex the neck to facilitate tube passage.

C. Place a water-based lubricant on the tip of the tube: Lubricating the tube reduces discomfort and eases insertion, but this step comes after selecting the nostril and preparing the client.

D. Compare the patency of the client’s nares: Assessing which nostril is more patent is the first priority to ensure the tube is inserted through the nare that offers the least resistance, reducing trauma and improving comfort during insertion.

A. Ask the assistive personnel to document the client's time of death. B. Wear sterile gloves when cleaning the client's body. C. Place an identification tag on the outside of the client's shroud. D. Remove the client's dentures and give them to the client's family.

Correct Answer is C

Explanation

A. Ask the assistive personnel to document the client's time of death: Documenting the time of death is a critical nursing responsibility and should be done by the nurse or healthcare provider, not delegated to assistive personnel. Accurate documentation is essential for legal and medical records, especially when an autopsy is planned.

B. Wear sterile gloves when cleaning the client's body: Sterile gloves are not necessary for routine postmortem care; clean gloves are sufficient. Sterile gloves are reserved for invasive procedures to prevent infection, whereas postmortem care focuses on hygiene and respect for the deceased.

C. Place an identification tag on the outside of the client's shroud: Proper identification of the deceased is crucial, especially when an autopsy is required. Placing an identification tag on the shroud ensures correct identification during transport and handling, preventing misidentification and maintaining respect for the client.

D. Remove the client's dentures and give them to the client's family: Dentures should typically remain in the client's mouth during postmortem care to preserve facial structure and appearance. Removing them can alter the deceased’s appearance, which may be distressing to the family and is generally avoided unless specifically requested.

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A nurse is reinforcing teaching with a client who is planning to complete a living will. Which of the following statements by the client indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to insert a client's NG tube for enteral feedings. Which of the following actions should the nurse take first?

Correct Answer is D

Explanation

A nurse is planning to provide postmortem care for a client who requires an autopsy. Which of the following actions should the nurse plan to take?

Correct Answer is C

Explanation

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