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 B
Explanation
The correct answer is choiceb. Herpes simplex.
Choice A rationale:
Diphtheria requires droplet precautions because it is primarily spread through respiratory droplets when an infected person coughs or sneezes.
Choice B rationale:
Herpes simplex requires contact precautions because it is spread through direct contact with infected lesions or body fluids.
Choice C rationale:
Pulmonary tuberculosis requires airborne precautions due to its transmission through airborne particles when an infected person coughs, sneezes, or talks.
Choice D rationale:
Pertussis, also known as whooping cough, requires droplet precautions as it spreads through respiratory droplets.
Correct Answer is C
Explanation
HIPAA (Health Insurance Portability and Accountability Act) is a federal law that mandates the privacy and security of a patient's medical records and personal health information. A newly licensed nurse must understand the HIPAA regulations to protect patient's confidentiality and avoid penalties for violating the law. HIPAA rules permit clients to access their medical records and receive copies of their medical information upon request. A client can request copies of medical records through a signed authorization form. HIPAA does not allow the sharing of a client's medical information with unauthorized personnel or third parties, including coworkers and supervisors. Therefore, it is essential to protect clients' medical information and keep computer passwords confidential.
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