A male client with a chronic medical condition tells the practical nurse (PN) that he wants no heroics to prolong his life if anything should happen to him. Which action should the PN take?

Place a "Do Not Resuscitate" sign outside the client's door and at the bedside.

Reassure the client that life-saving measures will not be taken without consent.

Complete an advance directive form and place it in the medical record.

Notify the client's healthcare provider of the client's wishes as soon as possible.

Answer and Explanation

The Correct Answer is C

The action that the practical nurse (PN) should take in this situation is to complete an advance directive form and place it in the client's medical record. Advance directives are legal documents that outline an individual's healthcare preferences and treatment decisions in the event that they become unable to communicate or make decisions for themselves. By completing an advance directive, the client's wishes regarding life-saving measures can be documented and honored.
A. Placing a "Do Not Resuscitate" sign outside the client's door and at the bedside is not sufficient documentation of the client's wishes. While it may serve as a visual reminder to healthcare providers, it is important to have the client's preferences clearly documented in their medical records through a formal advance directive.
B. Reassuring the client that life-saving measures will not be taken without consent is important for establishing trust and communication. However, it is essential to have the client's preferences formally documented to ensure that their wishes are respected and followed.
D. Notifying the client's healthcare provider of the client's wishes is an important step, but it should be done after completing the advance directive form. The advance directive will provide clear instructions to the healthcare team regarding the client's preferences, and the healthcare provider can review and acknowledge these wishes accordingly.

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Correct Answer is D

Explanation

While the use of cocaine and heroin can pose various health risks, including cardiovascular complications, respiratory problems, and infectious diseases, Hepatitis is particularly associated with injection drug use, such as heroin. Hepatitis is an inflammation of the liver that can be caused by viral infections, including Hepatitis B and C. Sharing contaminated needles or other drug paraphernalia increases the risk of contracting Hepatitis. These viral infections can lead to chronic liver disease, liver cirrhosis, and even liver cancer if left untreated. Therefore, among the options provided, Hepatitis is the greatest health risk for this client due to the mode of drug administration and associated risks of viral transmission.

A, B, and C- It's important to note that while diabetes, glaucoma, and hypertension are all significant health conditions, they are not directly associated with the use of cocaine and heroin as drugs of choice. However, individuals who engage in substance abuse may still be at risk for developing or exacerbating other health conditions due to the overall impact on their physical and mental well-being.

A. Refer to the dermatologist for prescribed long-term therapy. B. Wash the hair and skin daily with mild soap and warm water. C. Express blackheads and follow with an exfoliating scrub. D. Omit chocolate, carbonated drinks, and fried foods from the diet.

Correct Answer is A

Explanation

Acne is a common skin condition that often requires professional evaluation and treatment by a dermatologist. While the other options may be part of a comprehensive acne management plan, they alone may not be sufficient to address the client's specific needs. The recommendation to refer the client to a dermatologist allows for a more comprehensive assessment and the implementation of appropriate long-term therapy tailored to the individual's condition. The dermatologist can prescribe medications, provide personalized skincare recommendations, and monitor the client's progress over time. This ensures that the client receives the most effective and appropriate treatment for their acne.

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A male client with a chronic medical condition tells the practical nurse (PN) that he wants no heroics to prolong his life if anything should happen to him. Which action should the PN take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A male client attends a community support program for mentally impaired and chemical-abusing clients. The client tells the practical nurse (PN) that his drugs of choice are cocaine and heroin. What is the greatest health risk for this client?

Correct Answer is D

Explanation

A 16-year-old client is asking the practical nurse (PN) what can be done about acne. Which recommendation should the PN provide?

Correct Answer is A

Explanation

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