A nurse is assisting with the care of a client.

Π

Nurses' Notes 1000:

The client states, "I am tired of undergoing treatment because it doesn't seem to be working." The client states, "I hope I am just constipated." Appendectomy scar on the right lower quadrant. The abdomen is soft, and tender in the right lower quadrant, bowel sounds present in all four quadrants.

1200:

The surgeon has notified the client that surgical removal of the mass is advisable due to the client's history of metastasis and ongoing treatment failure. The client and their partner want to discuss end-of-life care. The client states, "I am unsure what it means to have a living will or a do not resuscitate order." The client's partner states, "I don't understand what power of attorney means." Both client and partner indicate that they might wish to decline further treatment as well as further lifesaving measures should they become necessary. The partner states, "How can we be sure that our decision about care will be honored?"

Select the responsibilities the nurse has in relation to the client's advance directives.

Provide the client with written information about advance directives.

Document that the provider discussed do not resuscitate status with the client. Inform the client that an advance directive discontinues further care.

Communicate advance directives status via the medical record and shift report. Instruct the client that an advance directive is a legal document and must be honored by care providers.

Initiate a power of attorney for health care documents.

Answer and Explanation

Correct Answer : A,C,D

A.   The nurse should provide the client with written information about advance directives to ensure that the client fully understands their options and can make informed decisions about their healthcare wishes.
B.   Not a correct option because it inaccurately states that an advance directive discontinues further care. An advance directive guides the type of care a patient wants or does not want, but it does not automatically discontinue all care.
C.   The nurse should communicate the client's advance directives status to other members of the healthcare team through documentation and shift reports. The nurse should also educate the client that an advance directive is a legal document that guides healthcare decisions and must be respected by care providers.
D.   The nurse can assist the client in initiating a power of attorney for health care document, which designates a trusted person to make healthcare decisions on behalf of the client if they become unable to make decisions for themselves.

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Correct Answer is C

Explanation

A. Incorrect. Security bands should not be removed or transferred to others. They help ensure the correct identification of both the mother and the baby.
B. Incorrect. Carrying the baby to the nursery might not be necessary, and newborns should be transported in a safe manner, often in a crib.
C. Correct. Both the mother and the baby should have matching identification bands to prevent mix-ups and ensure proper identification.
D. Incorrect. Newborns should generally remain in designated safe areas, like the mother's room or the nursery, to ensure their safety and security.

A. To bury the client's body within 24 hr of their death B. To prohibit medical personnel from touching the client's body C. To cremate the client's body D. To stay with the client's body for 8 hr following their death

Correct Answer is C

Explanation

A. Incorrect. Hindu traditions often involve cremation rather than burial.
B. Incorrect. While it's important to respect the cultural and religious beliefs of the client's family, the prohibition of touching the body is not a common practice in Hinduism.
C. Correct. Cremation is a common practice in Hinduism. The body is often cremated within a relatively short period after death.
D. Incorrect. While staying with the body for a period of time is a practice in some cultures, it is not specific to Hinduism.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a new mother about facility security measures. Which of the following statements by the mother indicates an understanding of the teaching?

Correct Answer is C

Explanation

A nurse is assisting in providing postmortem care for a client who was a devout follower of Hinduism. Which of the following requests should the nurse anticipate from the client's family?

Correct Answer is C

Explanation

A nurse is contributing to the plan of care for a client who has ascites due to cirrhosis. Which of the following interventions should the nurse recommend to include in the plan?

A nurse is collecting data from a client who has placenta previa. Which of the following findings should the nurse expect?

A nurse is assisting with the care of a client who is receiving a spinal epidural to treat a herniated disc. Which of the following findings should the nurse identify as an indicator of unrelieved pain?

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