A client with terminal cancer is admitted to hospice care.
The daughter is documented as the client’s health care proxy agent.
Which statement made by the nurse demonstrates an understanding of health care proxy and care?
The daughter will make all of the client’s health care decisions.
No extraordinary means, such as cardiopulmonary resuscitation, will be initiated.
The directive takes effect only if the client is incapable of personally making health care decisions.
The closest relative, such as the spouse, must still be consulted before the daughter in making health care decisions.
The Correct Answer is C
The directive takes effect only if the client is incapable of personally making health care decisions. This statement demonstrates an understanding of health care proxy and care because it reflects the definition of a health care proxy as a person who can make health care decisions for the client only when the client is unable to communicate these themselves.
Choice A is wrong because the daughter does not have the authority to make all of the client’s health care decisions, only those that the client has not specified in advance or that are not covered by the living will.
Choice B is wrong because no extraordinary means, such as cardiopulmonary resuscitation, will be initiated only if the client has expressed this preference in a living will or a do-not-resuscitate order.
Choice D is wrong because the closest relative, such as the spouse, does not have to be consulted before the daughter in making health care decisions, unless the client has designated them as an alternate proxy.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
“I can use clean instead of sterile technique to suction my tracheostomy.” This statement demonstrates that the client understands how to care for their tracheostomy at home. According to the American Thoracic Society, clean technique can be used for suctioning at home, as long as the equipment is cleaned and stored properly.
Choice A is wrong because the client should be able to take care of their own tracheostomy as much as possible, with the help of a caregiver if needed. This promotes independence and self-care.
Choice B is wrong because the client should not be the only one who knows how to suction their tracheostomy at home. They should have at least one backup person who can assist them in case of an emergency or if they are unable to do it themselves.
Choice C is wrong because the client should not use saline for longer than 24 hours, even if they boil it.
Saline can become contaminated with bacteria and cause infection. The client should use fresh saline every time they suction their tracheostomy.
Correct Answer is B
Explanation
Pulse oximetry works by measuring the amount of light that passes through your finger and reaches a sensor on the other side.
The amount of light that is absorbed by your blood depends on how much oxygen it carries. Nail polish can block or reflect some of the light, making it harder for the pulse oximeter to get an accurate reading of your oxygen level.
Choice A is wrong because the color of your nailbed is not relevant for pulse oximetry.
The pulse oximeter does not measure the color of your nailbed, but the amount of light that passes through it.
Choice C is wrong because the sensor does not react with the nail polish causing an allergic reaction.
The sensor is a non-invasive device that does not touch your skin or nail polish directly.
Choice D is wrong because the chemicals in the nail polish do not cause falsely decreased readings of your oxygen level.
The chemicals in the nail polish do not affect the amount of oxygen in your blood, but only the amount of light that reaches the sensor.
Normal ranges for pulse oximetry vary depending on your health condition and altitude, but generally they are between 95% and 100%. If your pulse oximetry reading is lower than 90%, you may have hypoxia, which means your tissues are not getting enough oxygen.
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