The client diagnosed with renal cell carcinoma is being prepared for emergency surgery and is asking to complete an advance directive. Which type of advance directive should the nurse recommend to the client to complete at this time?

Do not resuscitate (DNR) order.

Living will.

Durable power of attorney for health care

Power of attorney.

Answer and Explanation

The Correct Answer is C

Advance directives facilitate patient autonomy by documenting healthcare preferences before incapacitation. These legal instruments ensure that end-of-life decisions align with the individual's values, particularly during high-acuity surgeries where the risk of losing decision-making capacity is significant.

Rationale:

A. A DNR is a specific medical order signed by a physician, not a comprehensive advance directive. It only addresses cardiopulmonary resuscitation and is too narrow for a client needing broad representation during an upcoming emergency surgery.

B. A living will specifies treatment preferences but is often limited to terminal conditions or persistent vegetative states. In emergency surgery, it may not cover the real-time complexities and fluid clinical decisions required by the surgical team.

C. A durable power of attorney for health care (DPOA-HC) is ideal for surgical patients. It designates a healthcare proxy to make diverse medical decisions if the client is anesthetized or unconscious, ensuring continuous advocacy.

D. A general power of attorney typically grants authority over financial matters and legal transactions. It does not automatically provide the legal right to make medical choices, making it inappropriate for clinical end-of-life or surgical planning.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is ["B","C","D"]

Explanation

Health care proxy is a legal advance directive authorizing a surrogate decision maker when patient loses decision-making capacity ensuring autonomous consent substituted judgment and medical authority delegation continuity of care.

Rationale:

A. A health care proxy becomes active only upon incapacity determination. Choosing a proxy does not establish Do Not Resuscitate order. This option confuses surrogate authority with code status decisions concepts. Health care proxy focuses on decision making authority when incapacitated.

B. A health care proxy becomes active only upon incapacity determination. It is a legal mechanism for surrogate decision making authority. This ensures decision-making capacity triggers proxy activation appropriately in practice. Surrogates provide consent when patient lacks cognitive function legally required.

C. If incapacitation occurs the health care proxy assumes authority role. This enables substituted judgment based on patient preferences previously expressed. Proxy decisions guide treatment when patient cannot communicate effectively legally. It ensures continuity of care through surrogate decision authority framework.

D. Health care proxy designation is modifiable by competent adults freely. Patients retain autonomy to update surrogate decision makers at will. This reflects legal autonomy and advance directive flexibility principles governing. Changes require no familial restriction or approval requirement legal basis.

E. A health care proxy does not require family selection criterion. Any trusted competent adult may be designated legally by patient. This misunderstanding conflicts with legal surrogate rights statutes framework provisions. Selection prioritizes trust not biological or familial status requirements criteria.

Correct Answer is ["0.6"]

Explanation

Step 1: Identify desired dose and concentration
Desired dose = 3000 units, Concentration = 5000 units/mL

Step 2: Use the formula
Volume (mL) = Desired dose ÷ Concentration

Step 3: Insert values
= 3000 ÷ 5000

Step 4: Calculate
= 0.6 mL

Step 5: Round to the nearest tenth
= 0.6 mL

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The client diagnosed with renal cell carcinoma is being prepared for emergency surgery and is asking to complete an advance directive. Which type of advance directive should the nurse recommend to the client to complete at this time?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has named a person to serve as his health care proxy. The client states they need clarification about this type of advance directive. Which statements by the client indicate an understanding of the health care proxy? Select All That Apply.

Correct Answer is ["B","C","D"]

Explanation

A client has been prescribed heparin 3,000 units SQ for blood clot prophylaxis. Heparin is available in 5,000 units/1 mL. How many mL should the nurse administer? Round to the tenths place.

Correct Answer is ["0.6"]

Explanation

A nurse is contributing to the development of a fall-prevention policy for clients with dementia. Which source of information should the nurse identify as the primary guideline for the creation of the policy?

A home health nurse is providing teaching to the primary caregiver of a client who has Alzheimer's disease about respite care. Which information should the nurse include in the teaching?

The nurse plans care for a client who requires physical restraints. Which actions should the nurse include in the plan? Select all that apply.

A nurse is going through annual fire safety training. She reads a nearby fire extinguisher and sees that it is marked as class B. Which materials would this fire extinguisher be designed to put out? Select All That Apply.

A community health nurse is responsible for assessing vulnerabilities throughout the community. Which phase of the disaster management cycle is the nurse participating in?

A nurse is caring for a client who has pneumonia. Which tool should the nurse use to assist with providing cost-effective care?

The client diagnosed with a right-sided pneumothorax had chest tubes inserted 2 hours ago. There is no fluctuation in the water-seal chamber of the chest drainage system. Which action should the nurse take first?