A home health nurse is caring for a client who has terminal cancer and no longer wants to receive enteral tube feedings. Which of the following actions should the nurse take?
Request the facility chaplain to visit the client.
Ask the client to sign an informed consent form.
Explain the process for completing a living will.
Complete an against medical advice form.
The Correct Answer is C
When caring for a client with terminal cancer who expresses a desire to discontinue enteral tube feedings, the nurse's priority is to ensure that the client's wishes are respected and appropriate steps are taken. The most suitable action is:
c) Explain the process for completing a living will.
A living will is a legal document that outlines a person's preferences regarding medical treatment in the event they are unable to communicate their wishes. In this situation, the client can express their desire to forgo enteral tube feedings through a living will, ensuring that their wishes are documented and legally recognized.
The other options may not be as appropriate:
a) Request the facility chaplain to visit the client: While spiritual and emotional support is important, the immediate concern is ensuring the client's autonomy in decision-making regarding medical interventions.
b) Ask the client to sign an informed consent form: Informed consent typically pertains to specific medical procedures, and discontinuing enteral tube feedings is more aligned with the broader context of advance care planning.
d) Complete an against medical advice form: This form is typically used when a patient refuses a recommended treatment against the medical team's advice. However, in this case, the client is expressing their own treatment preferences, and the focus should be on facilitating advance care planning and documentation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The correct answer is choicec. Move the client to another location.
Choice A rationale:
Activating the alarm is important, but the immediate priority is to ensure the safety of the client by moving them away from the fire.
Choice B rationale:
Shutting the doors and windows can help contain the fire, but it should be done after ensuring the client is safe.
Choice C rationale:
Moving the client to another location is the priority action to protect them from harm.Ensuring the client’s safety is the first step in any emergency situation.
Choice D rationale:
Attempting to extinguish the fire is important, but it should be done after the client is safely moved to another location.
Correct Answer is A
Explanation
"Determine potential environmental health hazards." The first action a nurse should take when developing a disaster plan for an assisted care facility is to determine potential environmental health hazards. Natural disasters, such as hurricanes, floods, and wildfires, can disrupt the delivery of healthcare services and pose a risk to the safety and well-being of residents in assisted care facilities. Identifying potential environmental hazards, such as proximity to a river, a history of flooding, or a location in a high-wind zone, is essential in developing an effective disaster plan. The plan should also include strategies for evacuation, sheltering in place, communication with staff, and coordination with local emergency management agencies.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.