A client tells the nurse that he has an advance directive with durable power of attorney for health care. The client asks how the advance directive will affect the surgery. What is the nurse's best response?
a. "You will not be intubated during general anesthesia for the surgery."
b. "There will be no effect on your surgery."
c. "The surgical staff will resuscitate only if your heart stops during the operation."
d. "If you are unable to make a decision, your designee will be asked."
D
The advance directive with durable power of attorney indicates whom the client wishes to de-signate for medical decisions if he is unable to make decisions for himself. An advance directive with power of attorney does not eliminate the need for intubation during surgery. Although the document does not affect the procedure, simply acknowledging that fact does not help the client understand. If the client's heart stops during the operation and the client has not made his or her wishes known about that situation, the power of attorney would be consulted.
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