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

A health care surrogate must be a family member.

The provider can go against the client’s wishes regarding advance directives.

The provider will choose a client’s health care surrogate.

The client can resume control of health care after a temporary loss of competency.

Answer and Explanation

The Correct Answer is D

Choice A reason: A health care surrogate does not have to be a family member; clients can designate anyone competent. Assuming family is required shows misunderstanding, risking incorrect surrogate selection, potentially violating client autonomy, critical to avoid in ensuring accurate advance directive implementation in healthcare settings.

Choice B reason: Providers cannot override advance directives unless legally challenged or unclear; they respect client wishes. Assuming providers can go against directives indicates misunderstanding, risking ethical violations, critical to avoid in upholding client autonomy and legal standards in advance directive application during medical decision-making.

Choice C reason: Providers do not choose surrogates; clients designate them in advance directives. Assuming provider choice shows misunderstanding, risking unauthorized decision-making, potentially conflicting with client wishes, critical to prevent in ensuring client-directed care and legal compliance in advance directive processes in healthcare.

Choice D reason: Clients can resume healthcare control after regaining competency, as advance directives apply during incapacity. This understanding ensures respect for autonomy, critical for ethical care, allowing clients to direct decisions once capable, supporting legal and patient-centered implementation of advance directives in temporary incapacity scenarios.

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Correct Answer is C

Explanation

Choice A reason: Disulfiram is for alcohol deterrence, causing adverse reactions with alcohol, not for treating withdrawal seizures. Diazepam controls seizures. Administering disulfiram risks worsening withdrawal, potentially exacerbating seizures, critical to avoid in ensuring client safety and effective management of alcohol withdrawal in acute settings.

Choice B reason: Naltrexone reduces alcohol cravings post-detoxification, not treating acute withdrawal seizures, managed by diazepam. Using naltrexone risks uncontrolled seizures, delaying stabilization, critical to prevent in managing alcohol withdrawal. Benzodiazepines are standard, ensuring seizure control and safety in clients experiencing acute withdrawal symptoms.

Choice C reason: Diazepam, a benzodiazepine, is the standard treatment for alcohol withdrawal seizures, reducing neuronal excitability and preventing status epilepticus. Administering it ensures rapid seizure control, critical for client safety, stabilizing neurological status, and preventing complications like brain injury in acute alcohol withdrawal management.

Choice D reason: Acamprosate supports abstinence post-withdrawal, not treating acute seizures, managed by diazepam. Using acamprosate risks uncontrolled seizures, delaying critical intervention, potentially leading to injury or death, critical to avoid in ensuring effective seizure management and safety in clients with alcohol withdrawal.

A. A child who has a urinary tract infection and bright red blood in their urine. B. A child who has acute epiglottitis and is drooling. C. A child who has mononucleosis and reports severe fatigue. D. A child who has Wilms’ tumor and an abdominal mass.

Correct Answer is B

Explanation

Choice A reason: Bright red blood in urine with a UTI is concerning but not immediately life-threatening, unlike epiglottitis with drooling, which risks airway obstruction. Prioritizing UTI risks delaying airway management, critical for preventing respiratory failure, ensuring rapid assessment and intervention in children with acute epiglottitis.

Choice B reason: Acute epiglottitis with drooling indicates potential airway obstruction, a life-threatening emergency requiring immediate assessment to prevent respiratory arrest. This takes precedence over UTI, fatigue, or tumors. Prompt prioritization ensures airway management, critical for stabilizing the child and preventing fatal outcomes in the emergency department.

Choice C reason: Severe fatigue in mononucleosis is expected and not immediately life-threatening, unlike epiglottitis with drooling, which signals airway compromise. Prioritizing fatigue risks delaying critical airway intervention, potentially leading to respiratory failure, critical to avoid in ensuring safety for children in emergency settings.

Choice D reason: An abdominal mass in Wilms’ tumor requires evaluation but is not as urgent as epiglottitis with drooling, indicating airway risk. Prioritizing the tumor risks delaying life-saving airway management, critical for preventing respiratory collapse, ensuring rapid assessment and stabilization in children with acute epiglottitis.

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

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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Correct Answer is B

Explanation

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