The family members of an older adult client are expressing conflict over whether the client should have surgery that is recommended by the provider. The oldest adult child has durable power of attorney for health care for the client. The client is oriented to person, place, and time. Which of the following people has the legal authority to make this health care decision?

The client

The partner

The provider

The oldest adult child

Answer and Explanation

The Correct Answer is A

The oldest child has durable power of attorney to make healthcare decision on behalf of the client when he is unable to make decisions. However, the client in this case is fully oriented and, therefore, he is legally allowed to make the decision unless he explicitly gives the authority to the partner, provider or oldest child.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

Stroke in certain parts of the brain affects can lead to difficulty swallowing which may cause aspiration. Lack of a proper voluntary cough indicates involvement of muscles involved in swallowing and can be life threatening. A speech-language pathologist addresses this function to improve swallowing.

A, C and D. Diminished hand. to-mouth coordination, unilateral ptosis and altered level of consciousness shows involvement of the cerebellum, optic nerve and brain respectively which is not directly related to a speech language pathologist.

A. offer to store the purse at the nurses' station. B. Tell the client to leave her purse in a drawer of the bedside table. C. Place the purse in the clothing bag with the client's other belongings. D. Offer to place the purse in the facility safe.

Correct Answer is D

Explanation

the nurse should place the client’s purse in the facility safe where it is secure

A. The nurses’ station may not have space for the purse to be placed there

B. Drawers can be easily accessible to anyone and, therefore, unsafe.

C. Placing the purse with other belongings may lead to misplacement.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who had a stroke 2 days ago. Which of the following findings should the nurse identify as a need for a referral to speech-language pathology?

Correct Answer is B

Explanation

A nurse is preparing a client for surgery. The client expresses concern that someone might steal her purse during the procedure. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is reviewing the plan of care for a child who has oppositional defiant disorder. Which of the following members of the interprofessional health care team should the nurse plan to consult?

A nurse is delegating care for a client. Exhibit 1 Nurses' Notes 1000: Client has right sided weakness following a cerebrovascular accident. Client coughs when eating and voice becomes hoarse after swallowing. Select the 3tasks the nurse should assign to assistive personnel.

A nurse is preparing to discharge a client who has enD. stage heart failure. The client's partner tells the nurse she can no longer handle caring for the client. Which of the following actions should the nurse take?

A nurse on a medical-surgical unit is caring for four clients. The nurse should recognize that which of the following clients is the highest priority?

A nurse is assessing a client who has meningitis. Which of the following findings should the nurse report to the provider immediately?

A nurse in the emergency department is preparing to care for a client who arrived via ambulance. The client is disoriented and has a cardiac arrhythmia. Which of the following actions should the nurse take?

A pediatric nurse is caring for multiple clients and reviewing each of their care plans. Which of the following client care interventions requires revising?

A nurse is providing care for a client who has terminal cancer and is refusing chemotherapy. Which of the following actions should the nurse take?