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","C","E"]

Explanation

The manager observed the nurse performing actions that demonstrate critical thinking, including questioning a medication order that does not appear to meet the client's needs for pain management, exhibiting a willingness to try alternate methods of addressing a client's care needs, and listening to empathy to a client who has recently been diagnosed. These actions show that the nurse is able to think critically and make informed decisions based on the needs of the client.

A. The client will perform four to five isometric squeezes for 5 to 10 seconds. B. The client will empty her bladder completely each time she voids. C. The client will improve her incontinence within one month. D. The client will stop the ﬂow of urine when voiding.

Correct Answer is A

Explanation

Stress urinary incontinence is the involuntary loss of urine during physical activity such as coughing, sneezing, or exercising. It is often caused by weakness of the pelvic ﬂoor muscles and/or the urethral sphincter. An appropriate outcome for a client with this condition would be to improve the strength of these muscles. Performing isometric squeezes, also known as Kegel exercises, can help strengthen the pelvic ﬂoor muscles and improve sphincter competence. This can help reduce or prevent episodes of incontinence.

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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 nurse manager has determined that a new staﬀ nurse is demonstrating characteristics of a critical thinker. Which of the following did the manager observe the nurse perform? Select all that apply.

Correct Answer is ["A","C","E"]

Explanation

The nurse is identifying outcomes for a client with the nursing diagnosis of Stress Urinary Incontinence. Which outcome would be related to sphincter incompetence?

Correct Answer is A

Explanation

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