A nurse is assisting in providing care for a client who has multiple organ dysfunction syndrome (MODS). Which of the following actions is the priority when planning care for this client?
Discussing the client's resting times with the family
Ensuring that the client and their family are kept informed about the client's care
Being aware of the client's wishes regarding care
Scheduling periods of rest for the client
The Correct Answer is C
A. Discussing rest times with the family is important but is not the priority in managing MODS.
B. Keeping the client and family informed is crucial, but the priority is to understand and respect the client's wishes regarding their care.
C. In a client with MODS, understanding and respecting the client’s wishes, particularly regarding end-of-life care, is the priority. This ensures that care aligns with the client’s values and goals.
D. Scheduling rest is essential for managing fatigue and conserving energy but does not take precedence over respecting the client's care preferences.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The Background section of the SBAR communication tool is where relevant medical history, including a family history of malignant hyperthermia, should be included. This information is critical for the surgical team to be aware of before administering anesthesia.
B. The Recommendation section is for suggesting specific actions or interventions based on the current situation and background.
C. The Situation section describes the immediate issue or reason for the handoff, not past medical history.
D. The Assessment section includes the nurse's evaluation of the client’s current condition, not family history.
Correct Answer is C
Explanation
A. Moderate sedation involves the use of sedatives to calm the patient without putting them to sleep and is not the same as epidural anesthesia.
B. General anesthesia involves the complete loss of consciousness and sensation, affecting the entire body, which is different from an epidural.
C. An epidural is a type of regional anesthesia, which blocks sensation in a specific region of the body, such as the lower abdomen and legs, without affecting consciousness.
D. Local anesthesia numbs a small, specific area of the body, but an epidural affects a larger region.
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