A nurse is admitting a client who requests not to be intubated or have any other life saving measures initiated. Which of the following actions should the nurse take?
Ask the client if they have a copy of their advance directive
Inform the client that their family can override their decision
Ask the client family if they're in agreement with the client's request
Inform the client that the provider must agree with this decision
The Correct Answer is A
A. An advance directive is a legal document that outlines a person's preferences for medical treatment, including end-of-life care. Asking the client if they have a copy of their advance directive is appropriate because it can provide valuable information about their wishes regarding medical interventions. It allows the nurse to review the document to ensure that the client's current wishes align with what is documented in their advance directive.
B. In most cases, a competent adult's healthcare decisions, including decisions to refuse treatment, are legally binding and cannot be overridden by family members. It is important for the nurse to educate the client about their rights and ensure that their wishes are respected. Family members may be involved in discussions and support the client's decisions, but they cannot override a competent adult's wishes regarding their medical care.
C. While it's important to involve family members in discussions about the client's wishes, especially if they are the client's designated healthcare proxy or legally authorized decision-maker, family agreement is not required for the client's decision to refuse life-saving measures. The nurse should primarily focus on the client's expressed wishes and ensure that these wishes are understood and respected.
D. The provider's agreement with the client's decision may be necessary to document and implement the plan of care accordingly, but ultimately, the decision to refuse treatment rests with the competent client. The nurse should facilitate communication between the client and the provider to ensure that the client's wishes are understood and documented appropriately.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. An occurrence report, also known as an incident report, documents the details of any unexpected event that occurs during the client's care. This includes falls. It is important to document the incident accurately and promptly in the client's medical record to ensure that all relevant information is recorded. However, this should not take priority over timely escalation of the issue.
B. It is essential to notify the client's healthcare provider (such as the physician or nurse practitioner) about the fall incident. The provider needs to be informed about the client's condition after the fall, any injuries sustained, and any immediate actions taken.
C. The nurse who witnessed or discovered the fall incident is responsible for completing the occurrence report. It should be filled out by the nurse who directly assessed the client's condition after the fall, documented any injuries, and initiated appropriate interventions. Asking another nurse to complete the report may not accurately reflect the details and actions taken by the nurse who was directly involved.
D. Risk management may need to be informed about the fall incident, especially if it resulted in injury to the client. Risk management is responsible for assessing the circumstances surrounding the fall, identifying potential risks or contributing factors, and implementing strategies to prevent future incidents. However, contacting risk management is typically done after initial actions such as ensuring client safety, notifying the provider, and documenting the incident.
Correct Answer is A
Explanation
A. Diazepam is a benzodiazepine commonly used in the management of alcohol withdrawal syndrome. Benzodiazepines are effective in reducing symptoms such as anxiety, tremors, agitation, and preventing seizures that can occur during alcohol withdrawal. Diazepam is preferred due to its rapid onset and long duration of action, which helps stabilize the client during withdrawal.
B. Buprenorphine is a partial opioid agonist typically used in the treatment of opioid dependence, not alcohol withdrawal. It is not recommended as a first-line medication for alcohol withdrawal management.
C. Disulfiram is used as an aversive therapy in the treatment of alcohol use disorder. It works by causing unpleasant symptoms (such as nausea, vomiting, palpitations) if the client consumes alcohol. It is not indicated for the treatment of alcohol withdrawal symptoms.
D. Methadone is a synthetic opioid agonist primarily used for the treatment of opioid dependence and chronic pain management. It has no role in the treatment of alcohol withdrawal and is not appropriate for managing symptoms associated with alcohol withdrawal.
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