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 D

A. "Place a 'Do Not Resuscitate' sign outside the client's door and at the bedside."
A DNR order must be written by the healthcare provider and documented in the medical record. A sign alone is not sufficient to ensure the client’s wishes are followed.

B. "Reassure the client that life-saving measures will not be taken without consent."
While reassuring the client is important, the client’s wishes must be documented formally through an advance directive, which is legally binding and ensures that medical staff are aware of and follow the client’s instructions.

C. "Complete an advance directive form and place it in the medical record."
While completing an advance directive is important, the first priority is notifying the healthcare provider so that the client’s wishes can be documented and the proper legal forms can be completed.

D. "Notify the client's healthcare provider of the client's wishes as soon as possible."
The nurse should immediately notify the healthcare provider of the client’s wishes. The healthcare provider can then initiate the appropriate legal documentation, such as a DNR order or an advance directive, ensuring the client’s wishes are respected in the future. This is the first step in ensuring that the client’s preferences are followed.

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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.

A. Determine if this is the first indwelling catheter the client has had. B. Ask the client if he finished the bowel sterilization prescription. C. Review the client's expectations of elimination after surgery. D. Verify that the client had nothing by mouth (NPO) for the past 24 hours.

Correct Answer is C

Explanation

The client's question about whether the surgical opening will be visible suggests that they have concerns or misconceptions about the upcoming fecal diversion surgery. By reviewing the client's expectations of elimination after surgery, the PN can provide accurate information and address any anxieties or concerns the client may have.

The other options are not directly related to the client's question and are not the most appropriate actions to take in this situation:
A. Determining if this is the client's first indwelling catheter is unrelated to the client's question about the visibility of the surgical opening. It may be important to assess the client's history of urinary catheter use for other purposes, but it does not address the client's immediate concern.
B. Asking the client if they finished the bowel sterilization prescription is also unrelated to the visibility of the surgical opening. While bowel sterilization may be a part of the preoperative preparation for fecal diversion surgery, it does not address the client's questions and concerns.
D. Verifying that the client had nothing by mouth (NPO) for the past 24 hours is important for general preoperative care but does not address the client's specific question about the visibility of the surgical opening.

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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 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

The practical nurse (PN) is assisting with the preparation of a client for fecal diversion surgery. While inserting an indwelling urinary catheter, the client asks if the surgical opening will be visible. Which action should the PN implement?

Correct Answer is C

Explanation

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