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?

“I apologize for not hearing you say that. Is there a better day for you?”.

This response shows empathy and respect for the client’s feelings and preferences.

It also invites the client to collaborate on finding a solution that works for both parties. Choice A is wrong because it is rude and defensive.

It does not acknowledge the client’s frustration or offer any alternatives. Choice C is wrong because it is dismissive and paternalistic.

It does not respect the client’s autonomy or consider the client’s reasons for not being able to come back on Friday.

Choice D is wrong because it is persuasive and manipulative.

It does not address the client’s concerns or explore other options.

The nurse-client relationship is based on trust, respect, and collaboration.

The nurse should use therapeutic communication skills to maintain a positive rapport with the client and promote their health and well-being.

Collaborate with the prescriber about the order. This is because the nurse has a responsibility to ensure the safety and effectiveness of the medication administration and to question any orders that seem inappropriate or unclear. The nurse should not administer the medication as ordered without verifying it first, as this could cause harm to the client or result in a medication error. The nurse should not check to see if previous shift nurses gave the medication, as this does not address the issue of the current order and could lead to missed or duplicated doses. The nurse should not administer only the standard dose of the medication, as this could be against the prescriber’s intention and could compromise the client’s treatment or outcome.

Choice A is wrong because it does not follow the principle of safe medication administration and could put the client at risk of adverse effects or overdose.

Choice B is wrong because it does not respect the prescriber’s authority and could result in underdosing or ineffective therapy for the client.

Choice C is wrong because it does not solve the problem of the current order and could cause confusion or inconsistency in the medication administration.

Choice D is correct because it demonstrates critical thinking and professional accountability, and ensures that the order is appropriate and accurate for the client’s condition and needs.

The normal ranges for medication dosages depend on various factors, such as the type of medication, the route of administration, the client’s age, weight, renal function, liver function, and other comorbidities.

The nurse should always consult reliable sources of information, such as drug guides, pharmacists, or prescribers, to determine the safe and effective dosages for each client