The nurse caring for an older patient who resides in an assisted living facility is asked to obtain and witness the patient's signature on a living will document. The nurse responds most appro-priately when stating

a. "I will, because such a document is so valuable to the patient's plan of care."
b. "I'll ask the patient's family if they agree that the patient should sign the docu-ment."
c. "First I need to discuss the purpose of this document with the patient."
d. "I'm sorry but I cannot ethically do that."


D
It is not permissible for the nurse to secure the patient's signature or to witness the patient's sig-nature on a living will document. Generally speaking, an employee or owner of a facility in which the patient resides cannot witness this document.

Nursing

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When caring for a client with a concussion, a nurse follows the nursing care plan; however, the client is not progressing according to the plan. Which is the most appropriate therapeutic nursing intervention in this situation?

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Healthcare team members should ask individuals if they are allergic to ________ in order to prevent an adverse reaction to the influenza vaccine.

A. pollen B. shellfish C. eggs D. penicillin

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A patient comes to the clinic with a history of fever of 102° F for several days, poor appetite, and cough. A sputum culture is pending, but Gram stain indicates a bacterial infection. The primary care nurse practitioner (NP) should:

a. begin empirical antibiotic therapy. b. use a broad-spectrum antibiotic for initial treatment. c. prescribe an antibiotic when culture and sensitivity results are known. d. offer symptomatic treatment only unless the patient's condition worsens.

Nursing

A patient comes to the ambulatory surgery center for an elective procedure this morning. While giving the admission history, the patient states she is allergic to latex. What is the most appropriate response by the nurse at this time?

a. Removing all latex products from the patient's room b. Using powdered gloves when providing care to this patient c. Informing the surgeon that the patient has type I hypersensitivity to latex d. Questioning the patient about symptoms experienced in the past with latex

Nursing