A nurse is caring for a client who has a history of dementia.
The client is alert and oriented to person, place, and time, and has advance directives.
The client is scheduled for a procedure that requires informed consent.
Which of the following persons should sign the informed consent?

The client’s daughter, who is the primary caregiver.

The client.

The client’s partner.

The client’s son, who has a durable power of attorney.

Answer and Explanation

The Correct Answer is B

Choice A rationale

While the client’s daughter, who is the primary caregiver, may have a significant role in the client’s care, the decision to sign the informed consent ultimately lies with the client if they are deemed competent.

Choice B rationale

The client, who is alert and oriented to person, place, and time, and has advance directives, is the most appropriate person to sign the informed consent. As long as the client is competent and understands the information provided, they have the right to make their own medical decisions.

Choice C rationale

The client’s partner does not have the legal authority to sign the informed consent on behalf of the client unless the client is deemed incompetent and the partner is designated as the legal representative.

Choice D rationale

The client’s son, who has a durable power of attorney, can only sign the informed consent on behalf of the client if the client is deemed incompetent. Since the client is alert and oriented, they should be the one to sign the informed consent.

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Correct Answer is C

Explanation

Choice A rationale

Restricting outdoor activity to 1 hour per day is not necessary for patients with sickle cell anemia. While strenuous exercise and overexertion should be avoided, regular moderate exercise is beneficial and helps to promote good overall health.

Choice B rationale

Applying cold compresses when the child expresses pain is not recommended. Cold can lead to vasoconstriction, which can trigger a sickle cell crisis. Instead, warm compresses are often used to help increase circulation and reduce pain.

Choice C rationale

Drinking fluids multiple times every day is crucial. Hydration helps to keep the blood diluted and reduces the chances of a sickle cell crisis. Dehydration can increase the risk of a sickle cell crisis.

Choice D rationale

Monitoring temperature daily is not specifically required for patients with sickle cell anemia. However, any signs of infection, such as fever, should be reported to a healthcare provider immediately, as infection can trigger a sickle cell crisis.

A. “This is a concern, but strabismus is easily treated with patching.”. B. “I will call your primary care provider to report your concerns.”. C. “I will take your baby to the nursery for further examination.”. D. “This occurs because newborns lack muscle control to regulate eye movement.”.

Correct Answer is D

Explanation

Choice A rationale

Strabismus, or crossed eyes, is a condition that typically requires treatment and is not normal in newborns. It involves a lack of coordination between the muscles that control eye movement, causing the eyes to point in different directions.

Choice B rationale

While it’s important to report concerns to the primary care provider, this statement does not directly address the mother’s concern about her newborn’s crossed eyes.

Choice C rationale

Taking the baby to the nursery for further examination may be necessary in some cases, but it does not provide the mother with immediate reassurance or information about her newborn’s condition.

Choice D rationale

Newborns often lack the muscle control necessary to regulate eye movement, which can cause their eyes to cross. This is a normal part of development and typically resolves on its own within the first few months of life.

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A nurse is caring for a client who has a history of dementia.The client is alert and oriented to person, place, and time, and has advance directives.The client is scheduled for a procedure that requires informed consent.Which of the following persons should sign the informed consent?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to discharge a patient who has sickle cell anemia following an acute crisis episode.Which instructions should the nurse include in the teaching?

Correct Answer is C

Explanation

A nurse is caring for a new mother who is concerned that her newborn’s eyes cross.Which of the following statements is a therapeutic response by the nurse?

Correct Answer is D

Explanation

When presenting a lecture on leadership to new graduates, which types of followers should the nurse manager suggest as most beneficial to a nurse leader’s performance?

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A nurse is caring for a client who has a history of dementia.
The client is alert and oriented to person, place, and time, and has advance directives.
The client is scheduled for a procedure that requires informed consent.
Which of the following persons should sign the informed consent?