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.
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Related Questions
Correct Answer is D
Explanation
A. Leave the computer in the hallway:
Leaving the computer unsecured risks unauthorized access to client health information and violates HIPAA regulations.
B. Minimize the screen while addressing the client's needs:
Minimizing the screen does not prevent unauthorized access-data remains visible if the screen is restored.
C. Complete the documentation before going to the client's room:
This could delay responding to a potentially urgent client need; timely client care takes precedence over charting.
D. Log off the computer to attend the client's needs:
Logging off secures patient data and complies with HIPAA while allowing the nurse to promptly respond to the client.
Correct Answer is ["A","B","C","D"]
Explanation
B. Pull the pin on the handle of the fire extinguisher:
Pulling the pin unlocks the operating lever.
C. Direct the nozzle of the fire extinguisher at the base of the fire:
Targeting the base removes the fire’s fuel source.
D. Squeeze the handle of the fire extinguisher:
Squeezing releases the extinguishing agent.
A. Move the nozzle of the fire extinguisher in a side-to-side pattern:
Sweeping ensures full coverage and complete extinguishment of flames.
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