A nurse enters a client's room and finds the client pulseless. The family has requested a do-not-resuscitate (DNR) order from the provider, but he has not written the order yet. Which of the following actions should the nurse take?

Call the provider for a stat DNR order.

Start CPR and call the emergency response team.

Seek immediate help from the risk manager.

Respect the family's wishes and do nothing.

Answer and Explanation

The Correct Answer is B

A. There is no time to wait for a DNR order in an emergency; immediate action is needed.

B. Without a written DNR order, the nurse is legally and ethically obligated to initiate CPR and call the emergency response team to attempt to save the client’s life.

C. Contacting the risk manager is not an immediate action that would benefit the patient in this emergency situation.

D. The family’s wishes cannot be respected in this scenario without a formal DNR order in place; thus, the nurse must perform CPR.

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Correct Answer is B

Explanation

A. While lowering BP to 120/80 may be an ultimate goal, it is not the initial target in a hypertensive emergency.

B. Rapid reduction in blood pressure can cause hypoperfusion of vital organs such as the brain, heart, and kidneys, leading to ischemic injury. The aim is to reduce the BP gradually to prevent these complications.

C. IV antihypertensive medications generally have a rapid onset, not a slow one.

D. While gradual reduction is important, it is not done to allow rest but to protect organ perfusion.

A. validate knowledge of critical care nursing. B. assure the consumer that you will not make a mistake. C. prepare for graduate school. D. promote magnet status for your facility.

Correct Answer is A

Explanation

A. Critical care certification validates a nurse's specialized knowledge and skills in critical care, demonstrating competence in this field to both employers and patients.
B. While certification enhances professional credibility, it does not guarantee the absence of mistakes.
C. Preparing for graduate school is not the primary purpose of certification.
D. Certification may contribute to a facility's pursuit of Magnet status, but its primary purpose is to validate nursing expertise.

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A nurse enters a client's room and finds the client pulseless. The family has requested a do-not-resuscitate (DNR) order from the provider, but he has not written the order yet. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

A patient is being treated for hypertensive emergency. When treating this patient, the nurse recognizes the initial goal is to lower the mean blood pressure (BP) by 20-25% because

Correct Answer is B

Explanation

The main purpose of critical care certification is to

Correct Answer is A

Explanation

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