A nurse on a medica-surgical unit is caring for a client who asks about advance directives and states that he wants to appoint a health care proxy. Which of the following responses should the nurse make?

“You must choose a member of your family to serve as your health care proxy”

“A health care proxy can make decisions for you when you are unable to do so”

“You should appoint a health care proxy before undergoing an invasive procedure”

“It is necessary for an attorney to approve your health care proxy”

Answer and Explanation

The Correct Answer is B

a.   It is not required to choose a family member as a health care proxy; the client has the right to choose any competent adult.
b.   This is correct because a health care proxy is authorized to make medical decisions on the client's behalf if they are unable to do so themselves.
c.   While it is advisable to have a health care proxy, it is not a requirement before undergoing an invasive procedure.
d.   An attorney is not necessary to approve a health care proxy, although legal advice might be beneficial when drafting advance directives.

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Correct Answer is A

Explanation

a. A client with Alzheimer's disease and bacterial pneumonia experiencing newly onset restlessness may indicate a change in condition requiring immediate assessment and intervention.
b. While a fasting blood glucose level of 200 mg/dL in a newly admitted client with diabetes mellitus is concerning, it may not require immediate assessment compared to acute changes in condition.
c. A pain level of 7 in a client 24 hours postoperative following hip surgery is significant but may not be as urgent as assessing a client with newly onset restlessness.
d. A client 3 days postoperative and ready for discharge may require routine assessment but is not likely to require immediate attention compared to other clients with acute changes in condition.

A. Rotavirus B. Pertussis C. Respiratory syncytial virus D. Group B

Correct Answer is B

Explanation

a. Rotavirus is a common cause of diarrhea in infants and young children but is not typically reportable to the state health department.
b. Pertussis, also known as whooping cough, is a highly contagious bacterial infection that is reportable to the state health department due to its potential for outbreaks and public health implications.
c. Respiratory syncytial virus (RSV) is a common respiratory virus that can cause mild to severe respiratory illness, especially in young children, but it is not typically reportable to the state health department.
d. Group B refers to Group B streptococcus (GBS), which can cause infections in newborns but is not typically reportable to the state health department.

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A nurse on a medica-surgical unit is caring for a client who asks about advance directives and states that he wants to appoint a health care proxy. Which of the following responses should the nurse make?

Nursing Test Bank

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