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 A

Explanation

This statement by the client would indicate a need for further information about essential nutrition for healing. A balanced diet that includes a variety of nutrients is important for postoperative healing. Restricting the diet to only fats and carbohydrates may not provide all the necessary nutrients for optimal healing. The nurse should provide further education to the client about the importance of a balanced diet that includes protein, vitamins, and minerals in addition to fats and carbohydrates.

A. There is one best intervention for each goal/outcome. B. Actions should address the etiology of the nursing diagnosis. C. Interventions should be "doing" not just monitoring. D. Always select independent interventions when possible.

Correct Answer is B

Explanation

When selecting interventions for a care plan, the nurse should consider several principles. One important principle is that actions should address the underlying cause (etiology) of the nursing diagnosis. By addressing the root cause of the problem, interventions can be more eﬀective in achieving the desired outcomes. There is not necessarily one "best" intervention for each goal or outcome, as diﬀerent clients may have diﬀerent needs and respond diﬀerently to interventions. Interventions can include both "doing" actions and monitoring, and both independent and collaborative interventions may be appropriate depending on the situation.

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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

A nurse is educating a postoperative client on essential nutrition for healing. Which statement by the client would indicate a need for information?

Correct Answer is A

Explanation

Which of the following principles does the nurse use in selecting interventions for the care plan?

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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