A nurse is providing information to a client about durable power of attorney. The nurse should include that durable power of attorney is enforceable under which of the following conditions?
The client is incapable of providing self-care.
The client is terminally ill.
The client is unable to express their wishes.
The client has refused treatment.
The Correct Answer is C
Choice A Reason:
The condition that the client is incapable of providing self-care does not necessarily make a durable power of attorney enforceable. While incapacity can be a factor, the key aspect is the client’s ability to make decisions. A durable power of attorney becomes effective when the client is unable to make their own decisions, not merely when they are unable to provide self-care.
Choice B Reason:
Being terminally ill does not automatically make a durable power of attorney enforceable. The enforceability of a durable power of attorney is based on the client’s decision-making capacity. While terminal illness might lead to incapacity, it is the inability to make decisions that triggers the use of the durable power of attorney.
Choice C Reason:
A durable power of attorney is specifically designed to be enforceable when the client is unable to express their wishes. This legal document allows the designated agent to make decisions on behalf of the client when they are incapacitated and unable to communicate their preferences. This ensures that the client’s affairs are managed according to their wishes, even when they cannot express them.
Choice D Reason:
The refusal of treatment by the client does not make a durable power of attorney enforceable. The enforceability is related to the client’s capacity to make decisions. If a client is still capable of making informed decisions, even if they refuse treatment, the durable power of attorney does not come into effect.
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View Related questions
Correct Answer is C
Explanation
Choice A Reason:
Rotating the swab over necrotic tissue is not recommended because necrotic tissue does not provide an accurate representation of the microorganisms present in the wound. Necrotic tissue is dead tissue, and culturing it can lead to misleading results, as it may not reflect the current state of infection or the microorganisms causing the infection.
Choice B Reason:
Obtaining the sample from the outer edge of the wound is also not ideal. The outer edge of the wound may be contaminated with skin flora or other external contaminants, which can lead to inaccurate culture results. The sample should be taken from clean, viable tissue within the wound bed to ensure accurate identification of the microorganisms present.
Choice C Reason:
Applying sterile gloves to remove the outer dressing is the correct action. This step is crucial to maintain aseptic technique and prevent contamination of the wound and the specimen. Sterile gloves help ensure that the nurse does not introduce any external microorganisms into the wound while handling the dressing.
Choice D Reason:
Crushing the transport medium after obtaining the specimen is a necessary step to activate the medium and preserve the specimen during transport to the laboratory. However, this step comes after the specimen has been collected and does not directly relate to the technique of obtaining the specimen.
Correct Answer is B
Explanation
Choice A Reason:
Refrigerating the solution before irrigation is not recommended. The solution should be at room temperature to avoid causing discomfort or vasoconstriction, which can impede the healing process.
Choice B Reason:
Administering an analgesic medication 5 minutes before starting irrigation is correct. This action helps manage the client’s pain during the procedure, ensuring comfort and compliance.
Choice C Reason:
Using one pair of gloves for both dressing removal and irrigation is incorrect. The nurse should use separate pairs of gloves to prevent cross-contamination and maintain aseptic technique.
Choice D Reason:
Using a syringe with a catheter for wound irrigation is correct practice. This method allows for controlled and directed irrigation, ensuring the wound is properly cleaned.
