A murse is caring for an older adult client who has advanced dementia and needs a blood transfusion. The client previously designated her ad daughter on a durable power of attorney for health care form, and the daughter refuses the treatment. Which of the following actions should the nurse take?

Respect the daughter's decision to refuse the transfusion.

Encourage the daughter to let her mother have the transfusion.

Discuss taking guardianship of the client with the facility administration.

Ask the provider to give consent for the transfusion

Answer and Explanation

The Correct Answer is A

A. Respect the daughter's decision to refuse the transfusion. Since the daughter has been designated as the durable power of attorney for health care, she has the legal authority to make medical decisions on behalf of her mother. The nurse should respect her decision, even if it involves refusing treatment.

B. Encourage the daughter to let her mother have the transfusion. While the nurse can provide information and support, they should not pressure or coerce the daughter into making a different decision.

C. Discuss taking guardianship of the client with the facility administration.This is unnecessary as the daughter already has the legal authority to make decisions through the durable power of attorney.

D. Ask the provider to give consent for the transfusion.The provider cannot override the decision made by the designated durable power of attorney unless there is evidence that the daughter is not acting in the client's best interest.

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Correct Answer is A

Explanation

A. Facility policy and procedure manual.

The facility policy and procedure manual is the primary resource for step-by-step directions to clean up a chemical spill within a specific healthcare setting. Each healthcare facility has its own policies and procedures outlining the appropriate steps to take in the event of a chemical spill to ensure the safety of both patients and healthcare providers.

B. Poison Control Center:

The Poison Control Center is a valuable resource for information related to poisoning, but it may not provide specific step-by-step directions for cleaning up a chemical spill. Its primary focus is on managing exposures and providing advice on the treatment of poisonings.

C. Safety data sheet (SDS):

The Safety Data Sheet provides information about the properties of a chemical substance. While it offers details about the chemical and its hazards, it is not typically used as a step-by-step guide for cleaning up a spill. The SDS is more focused on providing information about the chemical's properties, safety precautions, and emergency response measures.

D. The National Quality Forum:

The National Quality Forum is a healthcare organization that focuses on healthcare quality improvement. It is not a primary resource for specific step-by-step directions for handling a chemical spill. Facility-specific policies and procedures are more appropriate for this purpose.

A. Instruct the client to limit flexion of the hips no further than 100". B. Perform range-of-motion exercises every 2 hr. C. Reposition the client every 2 hr. D. Place an abduction pillow between the legs.

Correct Answer is A

Explanation

A. Instruct the client to limit flexion of the hips no further than 100°.For a client who is postoperative following a total hip arthroplasty, hip flexion should generally be limited to 90° or less to avoid dislocation of the hip prosthesis. The instruction to limit flexion to 100° could potentially put the client at risk for dislocation and should be clarified.

B. Perform range-of-motion exercises every 2 hr.This helps prevent stiffness and promotes circulation, although passive range of motion should be performed carefully to avoid excessive hip flexion.

C. Reposition the client every 2 hr.Regular repositioning helps prevent pressure ulcers and other complications, and is a standard postoperative practice.

D. Place an abduction pillow between the legs.An abduction pillow is used to keep the legs apart and prevent dislocation of the hip joint, which is essential after a hip arthroplasty.

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A murse is caring for an older adult client who has advanced dementia and needs a blood transfusion. The client previously designated her ad daughter on a durable power of attorney for health care form, and the daughter refuses the treatment. Which of the following actions should the nurse take?

Nursing Test Bank

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Correct Answer is A

Explanation

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Correct Answer is A

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