A nurse is caring for a client who is unresponsive and has advance directives stating they do not want treatment to extend their life. The client's partner is their health care surrogate and requests the nurse begin tube feedings. Which of the following responses should the nurse make?

"The ethics committee will need to make that decision."

"The client's wishes are to not be given life-saving treatment."

"Your partner will feel better with tube feeding."

"We should discuss this with the rest of your partner's family."

Answer and Explanation

The Correct Answer is B

A. Involving the ethics committee may be unnecessary if the client's advance directives are clear.

B. This response directly addresses the client's wishes as stated in their advance directives, reinforcing the importance of honoring their preferences regarding life-sustaining treatment.

C. Suggesting that tube feeding will make the client feel better contradicts the advance directives and does not respect the client's wishes.

D. Discussing the matter with the rest of the family may not be appropriate if the partner is the designated surrogate and the client's wishes are clearly outlined in the advance directives.

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Correct Answer is D

Explanation

A. Restraints should be tied using a quick-release knot, not a square knot. A quick-release knot allows for easy removal in emergencies.

B. A provider cannot write a prescription for restraints "as needed" because restraints must be prescribed for a specific duration and reason, ensuring they are used safely and appropriately.

C. Restraints should be removed as soon as they are no longer necessary, typically every 2 hours, not every 4 hours, to ensure the client's comfort and safety.

D. Restraints should always be secured to a part of the bed frame that moves with the client’s position. This prevents excessive tightening or loosening of the restraint, which could cause injury or compromise circulation. Restraints should never be tied to side rails, as this can lead to serious harm if the rails are moved.

A. "HIPAA allows facility-specific coding of client health care information to ensure privacy." B. "Clients who participate in research studies forfeit their HIPAA right to privacy." C. "HIPAA allows clients to request a review of their own medical records." D. "HIPAA prohibits the uploading of photographs of clients' providers to social media sites."

Correct Answer is C

Explanation

A. HIPAA does not specifically allow facility-specific coding of client health information; it mandates strict regulations regarding the privacy and security of patient information.

B. Clients participating in research studies do not forfeit their HIPAA rights; they retain the right to privacy and must be informed about how their information will be used.

C. HIPAA does allow clients to request a review of their medical records, which is a fundamental right under the law, promoting transparency and access to personal health information.

D. While HIPAA does protect client information, the statement incorrectly focuses on providers' photographs rather than client privacy and confidentiality; both are protected under HIPAA regulations.

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A nurse is caring for a client who is unresponsive and has advance directives stating they do not want treatment to extend their life. The client's partner is their health care surrogate and requests the nurse begin tube feedings. Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is orienting a newly licensed nurse about the use of restraints. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

Correct Answer is D

Explanation

A charge nurse is reviewing information about HIPAA with a group of staff nurses. Which of the following statements by a staff nurse indicates understanding?

Correct Answer is C

Explanation

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