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Whether the partner is the client's durable power of attorney for health care: This is the correct answer because if the partner has durable power of attorney, they may have legal authority to make healthcare decisions on behalf of the client, including consenting to surgery.

Whether the client's refusal is based on a religious belief: Religious beliefs may influence the client's decision-making process but may not necessarily override legal arrangements such as durable power of attorney.

Whether the facility ethics committee reaches a consensus on the case: While ethics committees can provide guidance, they may not have the final authority to override legal designations such as durable power of attorney. 2) A nurse is caring for a client who has a new diagnosis of chlamydia. Which of the following actions should the nurse take?

Filing an incident report is an important step in documenting suspected abuse, but it should not be the first action taken. Documentation should occur after an initial assessment and gathering of information that supports the suspicion of abuse.

Treating and discharging the client may address the immediate physical health needs but does not address the potential safety concerns or the suspicion of abuse. Discharging the client back into a potentially harmful environment without further assessment or intervention could place the client at risk of further harm.

Asking the client about his injuries with the son present is not advisable if abuse is suspected. The presence of the potential abuser can influence the client's responses and may prevent the client from disclosing abuse due to fear or intimidation.

Green tags are used for the "walking wounded" who will need medical care at some point after more critical injuries have been treated. This would not be appropriate for a client with full thickness burns on 72% of his body, as this condition is life-threatening and requires immediate attention.

Yellow tags are for those who require observation and possible later re-triage. Their condition is stable for the moment, and they are not in immediate danger of death. This client's condition, however, is too critical for a yellow tag.

Red tags indicate that the person cannot survive without immediate treatment but who have a chance of survival. Given the severity of the client's burns, immediate and intensive treatment is necessary, making the red tag the correct choice. The use of the red tag aligns with the advanced triage system which prioritizes patients most likely to survive with immediate care.  

This is incorrect because a health care proxy doesn't necessarily have to be a family member. It can be any person chosen by the individual.

This is incorrect because appointing a health care proxy is not contingent upon undergoing an invasive procedure.

This is incorrect because the involvement of an attorney is not necessary to appoint a health care proxy.

Continuing both medications may exacerbate the somnolence and difficulty arousing experienced by the client. It's essential to address the adverse effects promptly.

NSAIDs are not typically the first choice for severe pain management in terminal illness, especially when opioids are already prescribed. Moreover, replacing the opioid with an NSAID may not adequately address the pain.

Administering the benzodiazepine alongside the opioid may further potentiate the sedative effects and worsen the client's condition.

Using another nurse's password violates client confidentiality and compromises security protocols.

Discarding personal health information documents in the trash without proper disposal methods can lead to unauthorized access and breach of confidentiality.

Posting a client's vital signs in their room could potentially compromise their privacy, as it may be viewed by unauthorized individuals.

Developing an initial plan of care for a client with sickle cell anemia involves critical thinking and assessment, which are within the scope of practice for an RN.

A client transferring from the CCU after a myocardial infarction requires close monitoring and assessment, which are typically within the scope of practice for an RN.

Teaching a newly admitted client about self-administration of insulin involves education, assessment, and critical thinking, which are typically within the scope of practice for an RN.

Postoperative urinary retention can lead to complications such as urinary tract infections and renal damage. It requires immediate attention to prevent further complications.

While emotional support is important, it does not present an immediate threat to the client's health compared to the other options.

While the dressing change for an ulcer is important, it is not as urgent as addressing postoperative urinary retention.

While helping the AP assist the client with the transfer is a hands-on approach, it might not address the root cause of the incorrect technique. Demonstrating the proper technique ensures that the AP understands the correct method for future transfers.

Instructing the AP to request assistance when unsure about a task is a good general practice, but in this specific scenario, addressing the incorrect technique is more pressing.

Referring the AP to the facility procedure manual might provide guidance, but it doesn't offer immediate correction or education on the observed error.

While respiratory protection may be necessary in certain situations, such as when dealing with airborne pathogens, anthrax exposure typically does not require an N95 respirator mask.

Anthrax is caused by a bacterium, not a virus, so administering an antiviral medication would not be effective in treating the infection.

Placing a surgical mask on the client during transfer may not be necessary unless there are specific concerns about the spread of respiratory droplets. However, the primary treatment for cutaneous anthrax is antibiotics, not respiratory precautions.