Nokea
A nurse is reinforcing teaching with a client about advanced directives. Which of the following information should the nurse include?
- A. Once you have completed a living will, it cannot be changed.
- B. You should appoint a family member as your health care surrogate.
- C. Your health care surrogate will make decisions on your behalf if you are unable.
- D. You will need an attorney to appoint a health care surrogate.
Correct Answer: C
Rationale: A health care surrogate acts on the client's behalf if incapacitated.
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The client was prescribed azithromycin 1 g PO once.
A nurse in a health clinic is assisting in the care of a client diagnosed with chlamydia. The client was prescribed azithromycin 1 g PO once. Which of the following allergy findings in the client's history should the nurse report to the provider?
- A. Allergy to tetracyclines
- B. Allergy to sulfonamides
- C. Allergy to macrolides
- D. Allergy to penicillins
Correct Answer: C
Rationale: Azithromycin is a macrolide; an allergy to macrolides contraindicates its use.
The client has decided to stop dialysis treatment.
A nurse is caring for a client who has end-stage kidney disease. The client has decided to stop dialysis treatment. Which of the following actions should the nurse take?
- A. Ask the facility chaplain to visit the client.
- B. Discuss alternative treatment methods with the client.
- C. Support the client's decision to stop the treatment.
- D. Tell the client she should discuss this decision with her family.
Correct Answer: C
Rationale: Supporting the client's decision respects autonomy, a fundamental ethical principle.
A nurse is reinforcing teaching with a client about reducing dietary caffeine intake. The nurse should remind the client that 240 mL (8 oz) of which of the following beverages contains the least amount of caffeine?
- A. Brewed green tea
- B. Cola soft drink
- C. Hot cocoa
- D. Instant coffee
Correct Answer: C
Rationale: Hot cocoa has the least caffeine compared to tea, soda, and coffee.
The client tells the nurse they do not want to be resuscitated in the event of a cardiac arrest.
A nurse is caring for a client who has lung cancer. The client tells the nurse they do not want to be resuscitated in the event of a cardiac arrest. Which of the following statements should the nurse make?
- A. Let me explain the pros and cons of your decision.
- B. I will support your decision and help you explain it to others.
- C. I will send the social worker in to discuss this decision with you.
- D. I suggest you discuss this decision with your family first.
Correct Answer: B
Rationale: Supporting the client's decision respects autonomy and facilitates communication, aligning with ethical care.
The client expresses anxiety about exercising in the outdoor courtyard.
A nurse in a mental health facility is caring for a client who expresses anxiety about exercising in the outdoor courtyard. The nurse promises to walk with the client in the courtyard each day. Which of the following ethical principles is the nurse demonstrating?
- A. Fidelity
- B. Justice
- C. Nonmaleficence
- D. Autonomy
Correct Answer: A
Rationale: Fidelity is demonstrated by keeping the promise to walk with the client.