A client with a prescription for "do not resuscitate" (DNR) begins to manifest signs of impending death. After notifying the family of the client's status, what priority action should the nurse implement)

The client's need for pain medication should be determined.

The nurse manager should be updated on the client's status

The client's status should be conveyed to the chaplain.

The impending signs of death should be documented

Answer and Explanation

The Correct Answer is A

A. Determining the client's need for pain medication is a priority to ensure comfort and manage symptoms as the client approaches end of life.
B. Updating the nurse manager on the client's status is important, but it is not the priority action in terms of direct client care.
C. Conveying the client's status to the chaplain may be part of holistic care, but the immediate physical needs of the client take precedence.
D. Documenting the impending signs of death is essential for medical records, but addressing the client's comfort needs is the priority.

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Correct Answer is ["4"]

Explanation

1kg=2.2 pounds

44pounds= 44/2.2= 20kg

Desired dose= 2mg/kg= 220= 40mg

Available formulation= 10mg/ml

Dose to administer= desired dose/ formulation= 40/10= 4 ml

A. Blood pressure, heart rate, and temperature. B. Leukocytes, neutrophils, and thyroxine. C. Serum potassium, calcium, and phosphorus. D. Erythrocytes, hemoglobin, and hematocrit.

Correct Answer is C

Explanation

A. While monitoring blood pressure, heart rate, and temperature is important for overall health assessment, they are not specifically indicative of end-stage renal disease (ESRD).
B. Leukocytes, neutrophils, and thyroxine are not directly related to renal function or the complications of ESRD.
C. Clients with ESRD are at risk for electrolyte imbalances, including hyperkalemia, hypocalcemia, and hyperphosphatemia, so monitoring serum potassium, calcium, and phosphorus levels is crucial.
D. Monitoring erythrocytes, hemoglobin, and hematocrit levels is important for assessing
anemia, which is common in ESRD, but it's not the most critical parameter to monitor compared to electrolyte imbalances.

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A client with a prescription for "do not resuscitate" (DNR) begins to manifest signs of impending death. After notifying the family of the client's status, what priority action should the nurse implement)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A child with peripheral edema who weighs 44 pounds receives a prescription for furosemide 2 mg/kg intravenously every 12 hours. The vial is labeled, "10 mg/mL." How many mL should the nurse administer? (Enter numeric value only)

Correct Answer is ["4"]

Explanation

Which laboratory results should the nurse closely monitor in a client who has end-stage renal disease (ESRD)?

Correct Answer is C

Explanation

A preschool-aged child who is being treated for Streptococcal pharyngitis returns to the clinic for signs of scarlet fever. Which assessment finding provides the earliest indication to the nurse that the child is experiencing a reaction to the toxins that are created by the Streptococcus bacteria?

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