A facility provides annual staff education regarding ethical practice. A charge nurse recognizes a need for further education when which of the following behaviors is observed?
A nurse informs a confused client who wants to go home that he is going to stay at the facility until he is better.
A nurse gives prescribed opioids to a client who has a terminal illness and respirations of 8/min.
A nurse explains to a client's family that a DNR order includes withholding comfort measures.
A nurse refuses to actively participate during an elective abortion procedure scheduled for her client.
The Correct Answer is C
A DNR (Do Not Resuscitate) order means that CPR should not be initiated in the event of a cardiac arrest. This however, does not include other aspects of care that may be required by the client. Comfort measures should still be used unless stated otherwise.
A. A confused client lacks the mental capacity to refuse care and the nurse is right.
B. Respiratory depression is not a contraindication to opioid therapy in cases of pain during end of life care.
D. The nurse has the right to decline participation in elective abortion cases.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Advance directives are legally binding documents that one uses to express their health care wishes for when they are unable to do so in the future. They include a living will, durable power of attorney. They are signed by the individual when they are mentally capable and healthy.
A. Only the individual signs the advanced directives
C. They are signed when one is healthy and mentally sound
D. The doctor has no role in the writing of a living will.
Correct Answer is D
Explanation
The nurse floating from the medico-surgical unit is likely to have experience handling client postoperative and can handle the client post Cesarean section adequately
A. The client is a high-risk client who requires the attention of a nurse with obstetric experience
B. The client with preeclampsia is a high-risk client due to risk of eclampsia
C. The client is at high risk of infection and, therefore, requires the attention of a nurse with obstetric experience.
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