A nurse is teaching a newly licensed nurse about advance directives. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

"A health care surrogate must be a family member."

"The client can resume control of health care after a temporary loss of competency."

"The provider will choose a client's health care surrogate."

"The provider can go against the client's wishes regarding advance directives."

Answer and Explanation

The Correct Answer is B

A. "A health care surrogate must be a family member.": This statement is incorrect. A health care surrogate, also known as a health care proxy or agent, does not necessarily have to be a family member. It can be any individual chosen by the client to make health care decisions on their behalf if they become unable to do so.
B. "The client can resume control of health care after a temporary loss of competency.": This statement demonstrates an understanding of advance directives. Advance directives allow individuals to maintain control over their health care decisions by specifying their preferences for treatment or appointing a surrogate decision-maker. If a client experiences a temporary loss of competency, they can regain control of their health care decisions once competency is restored.
C. "The provider will choose a client's health care surrogate.": This statement is incorrect. It is the responsibility of the client to choose their health care surrogate. While healthcare providers may provide guidance and information about advance directives, they do not choose the surrogate for the client.
D. "The provider can go against the client's wishes regarding advance directives.": This statement is incorrect. Advance directives are legally binding documents that express a client's wishes regarding medical treatment. Healthcare providers are generally obligated to follow the directives outlined in these documents, and they cannot go against the client's wishes unless certain legal exceptions apply, such as emergency situations where immediate action is required to preserve life.

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Correct Answer is C

Explanation

A. Hazelnuts: While hazelnuts are a common allergen, they are not typically associated with cross-sensitivity to latex. Therefore, further assessment for cross-sensitivity to hazelnuts is not necessary based solely on the child's latex allergy.
B. Almonds: Similar to hazelnuts, almonds are a common allergen but are not typically associated with cross-sensitivity to latex. Therefore, further assessment for cross-sensitivity to almonds is not necessary based solely on the child's latex allergy.
C. Bananas: Bananas are one of the most common foods associated with latex allergy cross-sensitivity. Many individuals with latex allergy may also experience allergic reactions to bananas due to shared allergenic proteins. Therefore, further assessment for cross-sensitivity to bananas is warranted in this case.
D. Strawberries: While strawberries are a common allergen, they are not typically associated with cross-sensitivity to latex. Therefore, further assessment for cross-sensitivity to strawberries is not necessary based solely on the child's latex allergy.

A. Attach a dosimeter to the client's gown. B. Strain the client's urine. C. Limit each of the client's visitors to 2 hr per day. D. Instruct visitors to stay 1 m (3.3 feet) away from the client.

Correct Answer is D

Explanation

A. Attach a dosimeter to the client's gown: A dosimeter measures the radiation dose received by the wearer over a period of time. While healthcare providers and personnel working closely with the client during brachytherapy may wear dosimeters, attaching one to the client's gown is not a standard practice.
B. Strain the client's urine: Straining the client's urine is not directly related to the care required for a client undergoing brachytherapy. The primary focus of care during brachytherapy is to minimize radiation exposure to others and promote the client's comfort and safety.
C. Limit each of the client's visitors to 2 hr per day: While it may be appropriate to limit the duration of visits to reduce the potential radiation exposure of visitors, the specific time limit of 2 hours per day is not standard and should be determined based on individual circumstances and institutional policies.
D. Instruct visitors to stay 1 m (3.3 feet) away from the client: This intervention is appropriate because it helps minimize radiation exposure to visitors. Maintaining distance from the client reduces the risk of radiation exposure to others while still allowing for social interaction and support during the client's treatment.

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A nurse is teaching a newly licensed nurse about advance directives. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

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