Author Question: The nurse documents that the client has a durable power of attorney for healthcare. What is the best ... (Read 72 times)

deesands · **on:** Jul 16, 2018

The nurse documents that the client has a durable power of attorney for healthcare. What is the best description of a durable power of attorney for healthcare?

A) Document in which the client states the types of treatment desired to receive or not to receive if a terminal situation arises
B) Designates a person of the client's choice to make healthcare decisions should the client become incompetent
C) Document that informs healthcare personnel that if the person experiences cardiopulmonary arrest, a code blue should not be called
D) Document in which healthcare personnel are informed not to start tube feeding and to keep the client as comfortable as possible

Question 2

A nurse is administering an IM injection of diphtheria-tetanus with pertussis (DTaP) to a 4-month old infant. What would be the appropriate site for this injection?

A) Dorsal gluteal
B) Ventrogluteal
C) Deltoid
D) Vastus lateralis

vboyd24 · **Reply #1 on:** Jul 16, 2018

Answer to Question 1

B
Feedback:
A durable power of attorney for healthcare designates a person of the client's choice to make these healthcare decisions should the client become incompetent. A living will is a document in which clients state the types of treatment they desire to receive or not to receive if a terminal situation arises or if they are unable to make decisions or express their wishes. An individual may have a do not resuscitate (DNR), do not intubate (DNI), or both orders in his or her health record. Healthcare personnel are thus informed that if this person experiences cardiopulmonary arrest, a code blue (or the code name for arrest in that facility) should not be called. The use of tube feedings may also be specified as a treatment the client wants or does not want. Clients who are DNR or DNI or who refuse tube feedings will be kept as comfortable as possible and given emotional support.

Answer to Question 2

D
Feedback:
The vastus lateralis is a thick muscle located on the anterior, lateral area of the thigh. This muscle may be used for IM injections in infants and children younger than 3 years because it is the largest muscle mass in this age group. Little risk of injury exists with this site because no large nerves or arteries surround the area. The other sites are not recommended for infants.