If an individual's spouse is asked to make health care decisions for the spouse, which of these legal actions is being implemented?
a. durable power of attorney for health care
b. Good Samaritan law
c. health care surrogate law
d. Patient Self-Determination Act
C
Some states have a health care surrogate law that provides a legal means for specific individuals to make decisions for a client when the client is unable to do so; these laws vary from state to state.
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A patient has a history of tonic-clonic seizures that have been successfully treated with phenytoin (Dilantin) for several years. Phenytoin achieves a therapeutic effect by
A) decreasing the influx of sodium into neurons. B) increasing the levels of available glutamate. C) simultaneously potentiating the effects of GABA and inhibiting reuptake. D) by slowing the function of calcium channels within the neurological system.
The family of an older patient dying of liver cancer is concerned that the patient will not eat or drink. The patient is alert and oriented, and expresses no desire to eat. What nursing action would be best?
1. Request an order from the physician for a feeding tube. 2. Obtain a dietary consult for feeding supplements. 3. Encourage the family to bring in home-cooked food. 4. Comply with the patient's wishes despite the family's concern.
A nurse provides teaching for a patient with cytomegalovirus (CMV) retinitis who will receive the ganciclovir ocular implant (Vitrasert). Which statement by the patient indicates a need for further teaching?
a. "My vision may be blurred for 2 to 4 weeks after receiving the implant." b. "Surgical placement of the implant is an outpatient procedure." c. "The implant will remain in place permanently." d. "The implant will slow progression of CMV retinitis."
A nurse is caring for a morbidly obese client. When planning to transport the client, the nurse states "It will take four of us to move this client." This is an example of a ____________ problem facing someone with high body fat.
A) Prejudicial B) Psychological C) Medical D) Cultural