A healthcare provider wants to share a patient’s story publicly. What should the nurse do first?

Choice A rationale
Any competent adult regardless of age or health status can create an advance directive. Advance directives are legal documents that allow individuals to specify their preferences for medical care in case they become unable to communicate their wishes. Competence is the key requirement, meaning the individual must be able to understand and make decisions about their medical care.

Choice B rationale
Only individuals with terminal illnesses is incorrect. While individuals with terminal illnesses may benefit from having an advance directive, it is not a requirement. Advance directives are available to any competent adult, regardless of their health status.
Choice C rationale
Only individuals over the age of 65 is incorrect. Advance directives can be created by any competent adult, regardless of age. It is important for all adults to consider having an advance directive to ensure their medical preferences are known and respected.
Choice D rationale
Only individuals with chronic medical conditions is incorrect. While individuals with chronic medical conditions may benefit from having an advance directive, it is not a requirement.
Advance directives are available to any competent adult, regardless of their health status.

Choice A rationale
Using a standardized pediatric medication reference guide is not appropriate for administering insulin to a diabetic client. Insulin dosages are typically based on the client’s blood glucose levels and individual needs, not standardized pediatric references. Ensuring patient safety requires accurate and individualized dosage calculations.
Choice B rationale
Relying on memory for dosage calculations is not a safe practice. Human memory is fallible, and errors in dosage calculations can have serious consequences for the client. It is essential to use reliable methods and double-check calculations to ensure accuracy and patient safety.
Choice C rationale
Asking another nurse to double-check calculations is the most appropriate action for ensuring patient safety. This practice helps to catch any potential errors and ensures that the correct dosage is administered. Double-checking calculations is a standard safety measure in medication administration.
Choice D rationale
Performing dosage calculations manually is important, but it should be combined with double- checking by another nurse. Manual calculations alone do not provide an additional layer of verification to catch potential errors. Ensuring patient safety requires both accurate calculations and verification by another healthcare professional.