A nurse is caring for an older adult client who has advanced dementia and needs a blood transfusion. The client previously designated her adult 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?
Ask the provider to give consent for the transfusion.
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.
The Correct Answer is B
A. Ask the provider to give consent for the transfusion:
Providers cannot override a legally authorized healthcare proxy when the client lacks decision-making capacity.
B. Respect the daughter's decision to refuse the transfusion:
A durable power of attorney for health care grants the designated individual legal authority to make decisions when the client is unable to do so, even if it means refusing treatment.
C. Encourage the daughter to let her mother have the transfusion:
This may be perceived as coercive and disregards the daughter’s legal decision-making authority.
D. Discuss taking guardianship of the client with the facility administration:
Guardianship is not needed when a valid durable power of attorney for health care is in place.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C"]
Explanation
A. Newborn 4:
This newborn has hypoglycemia (blood glucose 28 mg/dL; normal >40–45 mg/dL) and symptoms such as mild grunting, poor tone, and hand tremors. These findings require immediate intervention to prevent neurologic injury.
B. Newborn 3:
This newborn’s data is within expected limits for a 48-hour-old baby scheduled for discharge. Breastfeeding, voiding, stooling, and passing the hearing screen are appropriate findings; no revision needed.
C. Newborn 1:
Acrocyanosis is normal in the first 24 hours, but this newborn is only 2 hours old, so this alone is not alarming. However, because the newborn had an Apgar score of 6 at 1 minute (indicating some initial difficulty) and is in the early transition period, close monitoring is essential. The revision here would be to ensure additional observation to confirm stability before assuming the newborn is low risk.
D. Newborn 2:
This newborn underwent a circumcision and is being observed per protocol with no abnormal findings; no plan of care revision is necessary.
Correct Answer is D
Explanation
A. Reposition the client for pain relief:
This is independent nursing care, not interdisciplinary.
B. Develop a client-specific nursing diagnosis:
This is part of the nursing process performed independently by nurses.
C. Change the client's dressing every shift:
This is a nursing intervention, not necessarily interdisciplinary unless specialized input is needed.
D. Collaborate with the respiratory therapist on pulmonary care:
Interdisciplinary care involves collaboration between different healthcare professionals; working with a respiratory therapist is an example.
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