A client with a terminal illness without an advance directive stops breathing and does not have a heartbeat. What should the nurse do?

Call a partial code.

Call a code.

Call the physician.

Call a "slow code."

Answer and Explanation

The Correct Answer is B

In the absence of an advance directive, the nurse should call a code ³. This means initiating emergency resuscitation measures to try to revive the client. The other options (Call a partial code, Call the physician, and Call a "slow code") are not appropriate in this situation.

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Correct Answer is D

Explanation

Heart failure is a condition in which the heart is unable to pump blood eﬀectively, leading to a buildup of ﬂuid in the body. This can result in edema (swelling) and ﬂuid accumulation in the lungs, causing coarse crackles when breathing. The term for this condition is ﬂuid volume excess, which refers to an excessive amount of ﬂuid in the body.

Myocardial infarction is a heart attack, atelectasis is a collapse of lung tissue, and ﬂuid volume deficit refers to a lack of ﬂuid in the body.

A. Extinguish the fire if possible. B. Rescue the client from immediate danger. C. Activate the fire alarm system. D. Confine the fire by closing doors and windows.

Correct Answer is B

Explanation

The first action the nurse should take in this situation is to rescue the client from immediate danger. This means ensuring that the client is safely removed from the room and away from the fire. The safety of the client is the top priority in this situation. Once the client is safe, the nurse can then take further actions such as activating the fire alarm system and attempting to extinguish the fire if possible.

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A client with a terminal illness without an advance directive stops breathing and does not have a heartbeat. What should the nurse do?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The client is admitted to the nurse's unit with a diagnosis of heart failure. His heart is not pumping eﬀectively, which is resulting in edema and coarse crackles in his lungs. The term for this condition is:

Correct Answer is D

Explanation

A nurse enters a client's room and sees that ashes from a cigarette are beginning to ignite trash in the wastebasket. What actions should the nurse take first?

Correct Answer is B

Explanation

The nurse is caring for a client who has difficulty hearing conversation. What intervention should the nurse implement?

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