A nurse is caring for a client who asks about the purpose of advance directives. Which of the following statements should the nurse make?

They allow the court to overrule an adult client’s refusal of medical treatment.

They indicate the form of treatment a client is willing to accept in the event of a serious illness.

They permit a client to withhold medical information from health care personnel.

They allow health care personnel in the emergency department to stabilize a client’s condition.

Answer and Explanation

The Correct Answer is B

Choice A rationale

This statement is incorrect. Advance directives do not allow the court to overrule an adult client’s refusal of medical treatment. They are legal documents that provide instructions for medical care and only go into effect if the individual cannot communicate their own wishes.

Choice B rationale

This statement is correct. Advance directives indicate the form of treatment a client is willing to accept in the event of a serious illness. They allow individuals to express their preferences about medical treatment at some point in the future, should they become unable to communicate their wishes.

Choice C rationale

This statement is incorrect. Advance directives do not permit a client to withhold medical information from health care personnel. They are used to communicate the individual’s wishes about medical treatment to their healthcare providers and family.

Choice D rationale

This statement is incorrect. Advance directives do not specifically allow health care personnel in the emergency department to stabilize a client’s condition. They are used to guide choices for doctors and caregivers if the individual is terminally ill, seriously injured, in a coma, in the late stages of dementia or near the end of life.

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Correct Answer is A

Explanation

Choice A rationale

Pressing gently on the tragus of the ear after administering the medication can help the medication to reach the inner ear.

Choice B rationale

Packing a small piece of cotton deep into the patient’s ear canal is not recommended as it can cause damage to the ear.

Choice C rationale

Moving the patient’s auricle down and back towards their head is not necessary when administering otic medication.

Choice D rationale

Tilting the patient’s head backward for 5 minutes is not required when administering otic medication.

A. The route of administration B. The dosage of the medication C. The frequency of administration D. The name of the medication .

Correct Answer is B

Explanation

Choice A rationale

The route of administration, “by mouth”, is clearly stated in the prescription. Therefore, there is no need to confirm this with the healthcare provider.

Choice B rationale

The dosage of the medication, “0.25”, is not specified in terms of units (e.g., milligrams, micrograms). This could lead to errors in medication administration. Therefore, the nurse should confirm the dosage of the medication with the healthcare provider.

Choice C rationale

The frequency of administration, “daily”, is clearly stated in the prescription. Therefore, there is no need to confirm this with the healthcare provider.

Choice D rationale

The name of the medication, “digoxin”, is clearly stated in the prescription. Therefore, there is no need to confirm this with the healthcare provider.

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A nurse is caring for a client who asks about the purpose of advance directives. Which of the following statements should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is administering an otic medication to an older adult patient.Which of the following actions should the nurse take to ensure the medication reaches the inner ear?

Correct Answer is A

Explanation

A nurse is examining a patient’s medication prescription which states, “digoxin 0.25 by mouth daily.”. Which component of the prescription should the nurse confirm with the healthcare provider?

Correct Answer is B

Explanation

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