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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Vitamin K is used to reverse the effects of warfarin. Warfarin is an anticoagulant that works by inhibiting the synthesis of vitamin K-dependent clotting factors. When the INR is too high, indicating a high risk of bleeding, vitamin K can be administered to increase the production of clotting factors and reduce the risk.
Correct Answer is C
Explanation
Choice A rationale
Administering the insulin 30 minutes after breakfast is not recommended. Regular insulin should be administered before meals.
Choice B rationale
Administering the insulin at 0700 is not recommended. Regular insulin should be administered 30 to 45 minutes before a meal.
Choice C rationale
Administering the insulin at 0730 is recommended if breakfast is at 0800. Regular insulin should be administered 30 to 45 minutes before a meal. This is the correct answer.
Choice D rationale
Administering the insulin when the breakfast tray arrives is not recommended. Regular insulin should be administered 30 to 45 minutes before a meal.
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