Nokea
A nurse is reinforcing teaching with a client about advanced directives. Which of the following information should the nurse include?
- A. Your health care surrogate will make decisions on your behalf if you are unable.
- B. Once you have completed a living will, it cannot be changed.
- C. You will need an attorney to appoint a health care surrogate.
- D. You should appoint a family member as your health care surrogate.
Correct Answer: A
Rationale: A health care surrogate makes decisions if the client is incapacitated, ensuring their wishes are followed. Living wills can be changed, attorneys aren't required, and surrogates need not be family.
You may also like to solve these questions
A nurse is collecting data from a client who has thrombocytopenia. The nurse should identify which of the following findings increases the client's risk for injury.
- A. Wears a face mask around others
- B. Sleeps 8 to 10 hr per night
- C. Uses a firm bristled toothbrush
- D. Increased intake of green, leafy vegetables
Correct Answer: C
Rationale: A firm-bristled toothbrush risks gum bleeding in thrombocytopenia. Masks, sleep, or vegetables don't increase injury risk.
A nurse is reinforcing teaching with a client who has a new prescription for sertraline. Which of the following statements should the nurse include?
- A. You should take this medication in the morning.
- B. You might experience insomnia while taking this medication.
- C. You need to avoid caffeine while taking this medication.
- D. You should expect immediate improvement in your symptoms.
Correct Answer: B
Rationale: Sertraline can cause insomnia, a key side effect to anticipate. It's taken flexibly, caffeine isn't restricted, and effects take weeks.
A nurse is reinforcing teaching with a client who has a new prescription for esomeprazole. Which of the following statements should the nurse include?
- A. You should take this medication at bedtime.
- B. You might experience headache while taking this medication.
- C. You need to avoid dairy products while taking this medication.
- D. You can take this medication with an antacid for best results.
Correct Answer: B
Rationale: Esomeprazole can cause headaches, a side effect to monitor. It's taken before meals, dairy isn't restricted, and antacids don't enhance efficacy.
A nurse is caring for a client who is postoperative following a cesarean birth. Which of the following actions should the nurse take?
- A. Encourage the client to ambulate within 24 hr.
- B. Instruct the client to avoid coughing.
- C. Apply a cold pack to the incision site.
- D. Administer a laxative every 2 hr.
Correct Answer: A
Rationale: Ambulation within 24 hours prevents thromboembolism and aids recovery. Coughing supports lung function, cold packs aren't standard, and laxatives aren't given that frequently.
A nurse is caring for a client who is receiving IV chemotherapy. Which of the following findings should the nurse report to the provider?
- A. The client reports mild fatigue.
- B. The client's IV site is cool and swollen.
- C. The client's urine output is 200 mL over 4 hr.
- D. The client's temperature is 37.2°C (99°F).
Correct Answer: B
Rationale: A cool, swollen IV site suggests extravasation, a chemotherapy emergency requiring immediate reporting. Fatigue, urine output, and mild fever are less urgent.